Individual provider Active NPI

Anna Leigh Burgdorf, BCBA, LBA

  • Behavior Analyst
  • Charlotte, NC
National Provider Identifier
1003477282
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-33636 Issued in NC
Practice address
2301 Crownpoint Executive Dr Ste E
Charlotte, NC 28227-6725
Phone
(980) 785-1113
NPI assigned
Jun 27, 2019
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-33636 NC Primary

Addresses

Primary practice location

2301 Crownpoint Executive Dr Ste E
Charlotte, NC 28227-6725

Mailing address

6711 Constitution LN
Charlotte, NC 28210-4217
Phone (706) 207-8140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1003477282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 CONSTITUTION LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104217",
            "telephone_number": "706-207-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 CROWNPOINT EXECUTIVE DR STE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282276725",
            "telephone_number": "980-785-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGDORF",
        "first_name": "ANNA",
        "middle_name": "LEIGH",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-18-33636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.