Most Relevant Information
Provider Data
| NPI Number: | 1003316779 |
| Provider Name: | SONDRA BURBIDGE |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-21-55510 |
Most Important Dates
| Enumeration Date: | 02/19/2018 |
| Last Updated: | 03/18/2024 |
Provider Practice Location
16360 ROSCOE BLVD STE 100
VAN NUYS
CA
914061206
Practice Location Phone/Fax
| Phone: | 8552237123 |
| Fax: | 6195506368 |
Provider Mailing Location
PO BOX 33568
SAN DIEGO
CA
921633568
Provider Mailing Phone/Fax
| Phone: | 8552237123 |
| Fax: | 6195506368 |