Jacquavious Deshawn Burt
Jacquavious Deshawn Burt is a Behavior Technician in Bridgeport, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2022
Practice location Address checks out
6296 Bridgeport Village Square Dr Ste 2Bridgeport, MI 48722-9655
Phone: (989) 401-1239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence 630356139055 (MI) |
|---|
Record details
| NPI number | 1205564440 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 14, 2022 |
| Last updated in NPPES | August 14, 2022 |
| Certification date | August 14, 2022 |
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6296 Bridgeport Village Square Dr, Bridgeport, MI 48722-9655 · (989) 401-1239
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Kimberly Lynn Carrick
6296 Bridgeport Village Square Dr Ste 2, Bridgeport, MI 48722-9655 · (989) 401-1239
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Mrs. Theresa Casey-Wiles
6296 Bridgeport Village Square Dr Ste 2, Bridgeport, MI 48722-9655 · (989) 401-1239