Kelsey Burgess
Behavior Technician
2301 Crownpoint Executive Dr Ste E
Charlotte
, North Carolina 28227-6725
Kelsey Burgess
Behavior Technician
2301 Crownpoint Executive Dr Ste E
Charlotte
, North Carolina 28227-6725
(704) 708-8315
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Kelsey Burgess
- 2301 Crownpoint Executive Dr Ste E
- Charlotte, NC
- Zip : 28227-6725
- Fax : (704) 708-8315
- Phone : (704) 708-8314
Second Address
- Kelsey Burgess
- 2301 Crownpoint Executive Dr Ste E
- Charlotte, NC
- Zip : 28227-6725
- Fax : (704) 708-8315
- Phone : (704) 708-8314
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Is Kelsey Burgess a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-16-20941 | SC |
National Provider Identifier
| NPI | 1003305863 |
|---|---|
| Provider Name | Kelsey Burgess |
| First Address | Charlotte, NC 28227-6725 |
| Second Address | Charlotte, NC 28227-6725 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2018 |
| Last Update Date | 08/05/2018 |
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.