Provider Demographics
NPI:1770443111
Name:BURNETT, DIONSHA MARTEL (QMHA)
Entity type:Individual
Prefix:
First Name:DIONSHA
Middle Name:MARTEL
Last Name:BURNETT
Suffix:
Gender:F
Credentials:QMHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 W SAHARA AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-5818
Mailing Address - Country:US
Mailing Address - Phone:725-255-7865
Mailing Address - Fax:725-214-1171
Practice Address - Street 1:3601 W SAHARA AVE STE 103
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-5818
Practice Address - Country:US
Practice Address - Phone:725-255-7865
Practice Address - Fax:725-214-1171
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-17
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty