John Burks
Individual provider Active NPI Behavior Technician · Fulton, MD
NPI 1548912967 · NPPES record last updated Jan 27, 2022
Key facts
- NPI
- 1548912967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 8115 Maple Lawn Blvd Ste 350
Fulton, MD 20759-2683 - Phone
- (866) 352-5010
- NPI assigned
- Jan 26, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
8115 Maple Lawn Blvd Ste 350
Fulton, MD 20759-2683
Mailing address
8115 Maple Lawn Blvd Ste 350
Fulton, MD 20759-2683
Phone (866) 352-5010
Other providers in Fulton, MD
- Lane Brusa
- Monique Bryant
- Thomas Bukowski
- Alyssa Bunner
- Kinyemi R Bunting
- Laura Anne Burnham
- Lakeda Butler
- Morgan Byrd
- Emily Callaghan
- Erik Calvin
All providers in Fulton, MD · Behavior Technician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.