Individual provider Active NPI

Elizabeth Ann Mary Burbridge, M.S. BCBA

  • Behavior Analyst
  • Omaha, NE
National Provider Identifier
1538836705
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
11906 Arbor St
Omaha, NE 68144-2900
Phone
(505) 456-6474
NPI assigned
Aug 25, 2021
Last updated
Jan 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

11906 Arbor St
Omaha, NE 68144-2900

Mailing address

8300 Jefferson St NE Ste B
Albuquerque, NM 87113-1734

Other practice location 1

1001 Fort Crook Rd N Ste 204
Bellevue, NE 68005-4226
Phone (505) 456-6474

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Learning Collaborative LLC Behavior Analyst CurrentSince Jan 14, 2024 Accepting new patients

Locations

1001 Fort Crook Rd N
Ste 204
Bellevue, NE 68005
Phone (402) 432-0377

11906 Arbor St
Omaha, NE 68144
Phone (314) 834-8010

8300 Jefferson St NE
Ste B
Albuquerque, NM 87113
Phone (505) 225-5323

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1538836705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 JEFFERSON ST NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11906 ARBOR ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442900",
            "telephone_number": "505-456-6474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Fort Crook Rd N Ste 204",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "NE",
            "postal_code": "680054226",
            "country_code": "US",
            "telephone_number": "505-456-6474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURBRIDGE",
        "first_name": "ELIZABETH",
        "middle_name": "ANN MARY",
        "credential": "M.S. BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.