Active NPI
Brooke Burris
- Behavior Analyst
- Kansas City, MO
National Provider Identifier
1386485696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2024017248
- Practice address
- 1600 Baltimore Ave
Kansas City, MO 64108-1345 - Phone
- (816) 781-0177
- Fax
- (816) 216-6935
- NPI assigned
- Jun 3, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 2024017248 | MO | Primary |
Addresses
Primary practice location
1600 Baltimore Ave
Kansas City, MO 64108-1345
Mailing address
1600 Baltimore Ave
Kansas City, MO 64108-1345
Phone (816) 781-0177
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 |
|---|---|---|---|
| 2024017248 | MO | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easter Seals Midwest | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Saint Louis, MO
- NPI 1871625582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1386485696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 BALTIMORE AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641081345",
"telephone_number": "816-781-0177",
"fax_number": "816-216-6935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 BALTIMORE AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641081345",
"telephone_number": "816-781-0177",
"fax_number": "816-216-6935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRIS",
"first_name": "BROOKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-03",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": "2024017248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.