Dr. Stacy Burdick, DM-BCC2054RBAI
Dr. Stacy Burdick, DM-BCC2054RBAI is a Religious Nonmedical Practitioner in Salem, Oregon. Practices as a sole proprietor. Licensed in Florida and Oregon.
- Licensed in
- FL, OR
- In the registry since
- 2023
- Specialties on file
- 4
Practice location Address checks out
1230 Westwood Dr NWSalem, OR 97304-3749
Phone: (971) 208-4663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pastoral Counselor (primary) | Taxonomy 101YP1600X (OR) |
|---|---|
| Religious Nonmedical Practitioner | Taxonomy 374K00000X · Licence 2054 (FL) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence ABA-IN-10254263 (OR) |
| Behavior Technician | Taxonomy 106S00000X · Licence ABA-IN-10254263 (OR) |
Record details
| NPI number | 1780399808 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DM-BCC2054RBAI |
| Sole proprietor | Yes |
| NPI enumerated | January 23, 2023 |
| Last updated in NPPES | July 20, 2026 |
| Certification date | July 20, 2026 |