Layne Burkart
Individual provider Active NPI Behavior Technician · Inlet Beach, FL
NPI 1144007246 · NPPES record last updated Sep 30, 2024
Key facts
- NPI
- 1144007246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-23-291385 (FL)
- Practice address
- 231 Blue Stream Way Apt 5101
Inlet Beach, FL 32461-8621 - Phone
- (850) 896-3873
- Fax
- (855) 508-6637
- NPI assigned
- Sep 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-291385 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seaside Behavior Services, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-291385 | FL | Yes |
Addresses
Primary practice location
231 Blue Stream Way Apt 5101
Inlet Beach, FL 32461-8621
Mailing address
4380 Old Bayou TRL
Destin, FL 32541-3422
Phone (850) 963-7074
Other practice location 1
140 N. Christobal Road
Fort Walton Beach, FL 32569
Phone (844) 729-2242
Other providers in Inlet Beach, FL
- 30A Smiles LLC
- Hamid R Abdanan
- Lauren Holly Barbato
- Morgan Barber
- Julia Blalack
- Clear Health Revenue Cycle Systems
- Jaquisha Cruz
- Lawrence John De Lay
- Dr Lee Physical Therapy PLLC
- Daisha Mia Flores-Lucio
All providers in Inlet Beach, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.