Burdick, Stacy

Burdick, Stacy is an sole proprietor health care provider with primary practice located at 1230 Westwood Dr Nw , Salem OR 97304-3749. He recently has 4 registered licenses in different health care specialties including Nursing Service Related Providers / Religious Nonmedical Practitioner, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Pastoral is his primary health care specialty. Burdick, Stacy can be contacted via phone (971) 208-4663.

Contact Information

Primary practice address
1230 Westwood Dr Nw Salem OR 97304-3749
Phone: (971) 208-4663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Religious Nonmedical Practitioner 374K00000X 2054 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X ABA-IN-10254263 Oregon
Behavioral Health & Social Service Providers / Pastoral 101YP1600X Oregon
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X ABA-IN-10254263 Oregon

Profile Details

NPI number 1780399808
LBN Legal business name Burdick, Stacy
Credentials DM- BCC (2054) RBAI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2023
Last updated Jul 20th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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