Dejon Burdeaux
Assistant Behavior Analyst
4196 Douglas Blvd
Granite Bay
, California 95746-5904
Dejon Burdeaux
Assistant Behavior Analyst
4196 Douglas Blvd
Granite Bay
, California 95746-5904
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About
Features
Specialties
- Assistant Behavior Analyst
Languages spoken
- English
Location
First Address
- Dejon Burdeaux
- Po Box 5157
- Modesto, CA
- Zip : 95352-5157
- Phone :
Second Address
- Dejon Burdeaux
- 4196 Douglas Blvd
- Granite Bay, CA
- Zip : 95746-5904
- Fax : (916) 683-1140
- Phone : (916) 489-1376
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | CA |
National Provider Identifier
| NPI | 1073158911 |
|---|---|
| Provider Name | Dejon Burdeaux |
| First Address | Modesto, CA 95352-5157 |
| Second Address | Granite Bay, CA 95746-5904 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/11/2019 |
| Last Update Date | 14/11/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.