Provider Demographics
NPI:1508671439
Name:BURNEY, MARNESHIA JEANELL
Entity type:Individual
Prefix:MRS
First Name:MARNESHIA
Middle Name:JEANELL
Last Name:BURNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1725 NE 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32641-5862
Mailing Address - Country:US
Mailing Address - Phone:352-258-5341
Mailing Address - Fax:
Practice Address - Street 1:1608 NE 4TH AVE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32641-5755
Practice Address - Country:US
Practice Address - Phone:352-258-5341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services