Kelsey June Burke

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

157 Beach 116TH St
Rockaway Park, NY 11694-2430

Phone

(631) 786-5236

NPI assigned

Jan 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1346838166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SUYDAM LN",
            "city": "BAYPORT",
            "state": "NY",
            "postal_code": "117052152",
            "telephone_number": "631-786-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 BEACH 116TH ST",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942430",
            "telephone_number": "631-786-5236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 Austin St",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113751022",
            "country_code": "US",
            "telephone_number": "718-762-7633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "KELSEY",
        "middle_name": "JUNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE FOR SHARED HEALTH",
            "identifier": "676542130",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Bridgraj, LMSW
• Dina Lynne Broady, SPECIAL EDUCATOR
• Aimee Theresa Brown, RN, IBCLC
• Anne Buckley-Reen, OTR
• Leonardo Danan Buluran, PT
• Dolores Calle
• Gregorio A Calleja, MD
• Denise Cameron, OTR/L
• Shannonmarie Caparatta, DPT
• Joseph Gerard Cappellano, CCC-SLP

• Behavior Analyst in Rockaway Park, NY
• Providers in Rockaway Park, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.