Melissa Cynthia Burke, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

352 Agecroft CT
Hampton, VA 23669-1718

Phone

(917) 331-7755

NPI assigned

Dec 28, 2017

Last updated

Nov 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Phoenix Focused Behavioral Healthcare, LLC

  • Behavior Analyst
  • Yorktown, VA
  • NPI 1427650787
  NPD Authorized official

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1205342276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 AGECROFT CT",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236691718",
            "telephone_number": "917-331-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 AGECROFT CT",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236691718",
            "telephone_number": "917-331-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "MELISSA",
        "middle_name": "CYNTHIA",
        "name_prefix": "Miss",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-28",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "RBT-15-02437",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl R Burgan, CRNA
• Corlista Anne Burgess, CNM, PHMNP-BC
• Mariela Iris Burgos Torres, PHARMD
• Michael Anthony Burgos, OTR/L
• Alexis Burke, OTR
• Philip Burke, LPC
• Kyle S Burlingame, M.S. CCC-SLP
• Evie Neff Burnet, PT
• Patricia E Burnette, LCSW
• Montecia Boyd Burno, FNP

• Behavior Analyst in Hampton, VA
• Providers in Hampton, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.