Stephanie Burgess

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3236 Landmark Dr
Suite 103
North Charleston, SC 29418-8488

Phone

(843) 608-6598

Fax

(843) 608-6598

NPI assigned

May 22, 2007

Last updated

Apr 3, 2017By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Autism and Beyond

  • Behavior Analyst
  • North Charleston, SC
  • NPI 1396137584
  NPD (past) Authorized official
• Autism and Beyond, LLC

  • Behavior Analyst
  • North Charleston, SC
  • NPI 1922533603
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1245449388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3236 LANDMARK DR",
            "address_2": "SUITE 103",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294188488",
            "telephone_number": "843-608-6598",
            "fax_number": "843-608-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3236 LANDMARK DR",
            "address_2": "SUITE 103",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294188488",
            "telephone_number": "843-608-6598",
            "fax_number": "843-608-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX6561",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Thomas Burbridge, DO
• Cale Burch
• Erika Burgess, MD
• Lakeisha Cerese Burgess
• Mark Anthony Burgess, RPH
• Arielle Burkett
• Sarah Joanna Burkhart, P.A.-C.
• Ashley Lauren Burleson, NP-C
• Alyson Burns
• Heather Blanton Burns, NP

• Behavior Analyst in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.