Individual provider Active NPI

Allena M Burbage, ALC

  • Behavior Analyst
  • Montgomery, AL
National Provider Identifier
1124312079
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
C1767A Issued in AL
Practice address
8190 Seaton PL
Montgomery, AL 36116-7204
Phone
(334) 396-9100
NPI assigned
Jun 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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 C1767A AL Primary

Addresses

Primary practice location

8190 Seaton PL
Montgomery, AL 36116-7204

Mailing address

6325 Chaprice LN
Montgomery, AL 36117-4649
Phone (334) 300-1806

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

State licenses

LicenseStateTypeSpecialty
C1767AALMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Family Medicine, PC PastSince Jul 1, 1996 Accepting new patients
Montgomery Family Medicine P.C. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIBDBA

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1124312079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 CHAPRICE LN",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361174649",
            "telephone_number": "334-300-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8190 SEATON PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361167204",
            "telephone_number": "334-396-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURBAGE",
        "first_name": "ALLENA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "ALC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "C1767A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.