SearchUtah103K00000X

Nicole Burgener, BCBA

NPI 1215473632 · on the registry since 2017

Practice

Address
515 S 700 E Ste 2a
Slc, UT 84102
Phone
(801) 935-4171
Fax
(888) 261-6694
Clinicians at this address
19

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
106E00000X
106S00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-10-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah