Provider Demographics
NPI:1598587636
Name:BURTON, ANN MARIE (RBT)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:BURTON
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3320 CARDINAL DR UNIT 643629
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32964-7027
Mailing Address - Country:US
Mailing Address - Phone:815-302-5408
Mailing Address - Fax:
Practice Address - Street 1:3320 CARDINAL DR UNIT 643629
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32963-1923
Practice Address - Country:US
Practice Address - Phone:815-302-5408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician