Most Relevant Information
Provider Data
| NPI Number: | 1003477282 |
| Provider Name: | ANNA LEIGH BURGDORF |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-18-33636 |
Most Important Dates
| Enumeration Date: | 06/27/2019 |
| Last Updated: | 06/27/2019 |
Provider Practice Location
150 WESTPARK DR APT 904
ATHENS
GA
306067500
Practice Location Phone/Fax
| Phone: | 7062078140 |
| Fax: |
Provider Mailing Location
150 WESTPARK DR APT 904
ATHENS
GA
306067500
Provider Mailing Phone/Fax
| Phone: | 7062078140 |
| Fax: |