Logan Burdette, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

325 W 9TH St NE
Rome, GA 30165-2725

Phone

(470) 473-5920

Fax

(888) 979-8504

NPI assigned

Dec 4, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1407662562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 PARKWAY 575",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883897",
            "telephone_number": "470-473-5920",
            "fax_number": "888-979-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W 9TH ST NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652725",
            "telephone_number": "470-473-5920",
            "fax_number": "888-979-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDETTE",
        "first_name": "LOGAN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda D. Budlong, M.D.
• Howard Kelly Buffington, FNP-C
• Joseph John Burch, M.D.
• Joseph Samuel Burch, MD
• Mary Catherine Burch, FNP
• Monica Burge
• Brittany Burhenn, AA
• Jessen Mechell Burk, DO
• Taylor Nicole Burk, FNP-C
• Marissa Phillips Burkhalter

• Behavior Analyst in Rome, GA
• Providers in Rome, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.