Organization Active NPI

Burnett Therapeutic Services, LLC

  • Behavior Analyst
  • Modesto, CA
National Provider Identifier
1467346007
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BURNETT THERAPEUTIC SERVICES, LLC
Practice address
2301 Coffee Rd
Modesto, CA 95355-2308
Phone
(707) 299-8250
Fax
(707) 635-8215
NPI assigned
Jun 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Mitze Burnett
Title
Owner
Phone
(707) 299-8250

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Assistant Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 106E00000X
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X

Addresses

Primary practice location

2301 Coffee Rd
Modesto, CA 95355-2308

Mailing address

2301 Coffee Rd
Modesto, CA 95355-2308
Phone (707) 299-8250

National Provider Directory

National Provider Directory
Tax ID family
Burnett Therapeutic Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2301 Coffee Rd
Modesto, CA 95355
Phone (707) 299-8250

NPI Registry JSON

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1467346007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 COFFEE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552308",
            "telephone_number": "707-299-8250",
            "fax_number": "707-635-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 COFFEE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552308",
            "telephone_number": "707-299-8250",
            "fax_number": "707-635-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNETT THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "MITZE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-299-8250"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.