Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nathaniel R Burnside

Individual provider Behavior Technician · NPI 1538851662

Nathaniel R Burnside is a Behavior Technician in Dearborn, Michigan. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

23663 Park St
Dearborn, MI 48124-2547
Phone: (313) 689-5188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1538851662
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 25, 2023
Last updated in NPPESMay 25, 2023
Certification dateMay 25, 2023
Mailing address23663 Park St, Dearborn, MI 48124-2547

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