Active NPI
Michelle L Burr, BCBA
- Behavior Analyst
- Brookfield, WI
National Provider Identifier
1164761136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 217-140
- Practice address
- 150 N Sunny Slope Rd Ste 100
Brookfield, WI 53005-4806 - Phone
- (262) 432-5660
- Fax
- (262) 432-5666
- NPI assigned
- Feb 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 217-140 | WI | Primary |
Addresses
Primary practice location
150 N Sunny Slope Rd Ste 100
Brookfield, WI 53005-4806
Mailing address
1822 N 59TH St
Milwaukee, WI 53208-1628
Phone (414) 514-0444
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
| License | State | Type | Specialty |
|---|---|---|---|
| 217-140 | WI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517961600000",
"number": "1164761136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1822 N 59TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532081628",
"telephone_number": "414-514-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 N SUNNY SLOPE RD STE 100",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530054806",
"telephone_number": "262-432-5660",
"fax_number": "262-432-5666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURR",
"first_name": "MICHELLE",
"middle_name": "L",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-11",
"last_updated": "2018-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WI",
"license": "217-140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.