Hannah Burgos

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-77221 Issued in TX

Practice address

1652 Keller Pkwy Ste 200
Keller, TX 76248-3877

Phone

(682) 291-9910

Fax

(817) 977-4671

NPI assigned

Feb 11, 2019

Last updated

Feb 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blue Sprig Pediatrics

  • Behavior Technician
  • Keller, TX
  • NPI 1538095294
  NPD (past)
• Pediaplex Management Company LLC

  • Speech-Language Pathologist
  • Southlake, TX
  • NPI 1821374687
  NPD (past)

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1053876482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 E SOUTHLAKE BLVD STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926675",
            "telephone_number": "817-442-0222",
            "fax_number": "817-442-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 KELLER PKWY STE 200",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483877",
            "telephone_number": "682-291-9910",
            "fax_number": "817-977-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-19-77221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig E Buchmann, DDS
• Buffington Family Medicine PLLC
• Buffington Family Medicine PLLC
• Kristine Buffington, PSYD
• Ryan Buffington, MD
• Joseph William Burke III, DO
• Laurie Jean Burke, WHCNP
• Brittany Taylor Burns
• Sara Camila Bustos, DMD
• Ashley Lynn Buzard, PHARMD

• Behavior Technician in Keller, TX
• Providers in Keller, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.