Organization Active NPI

Burdette ABA, LLC

  • Community/Behavioral Health Agency
  • Richmond, VA
National Provider Identifier
1366028540
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BURDETTE ABA, LLC
Practice address
1011 E Main St Ste 210B
Richmond, VA 23219-3546
Phone
(571) 419-2892
NPI assigned
Mar 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Kaitlin Burdette, BCBANPI 1730675265
Title
Owner
Phone
(571) 419-2892

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1011 E Main St Ste 210B
Richmond, VA 23219-3546

Mailing address

1011 E Main St Ste 210B
Richmond, VA 23219-3546
Phone (571) 419-2892

Other identifiers 1

IdentifierTypeStateIssuer
1730675265OtherNPI

National Provider Directory

National Provider Directory

Locations

1011 E Main St
Ste 210B
Richmond, VA 23219
Phone (571) 419-2892

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1366028540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 E MAIN ST STE 210B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232193546",
            "telephone_number": "571-419-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 E MAIN ST STE 210B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232193546",
            "telephone_number": "571-419-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURDETTE ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "BURDETTE",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-419-2892",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730675265",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.