Active NPI
Burnett Therapeutic Services, LLC
- Behavior Analyst
- Napa, CA
National Provider Identifier
1598388993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- BURNETT THERAPEUTIC SERVICES, LLC
- Practice address
- 3419 Valle Verde Dr
Napa, CA 94558-2414 - Phone
- (707) 299-8250
- Fax
- (707) 635-8215
- NPI assigned
- May 20, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mitze Burnett
- Title
- Managing Member
- Phone
- (707) 227-4448
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Assistant Behavior Analyst | 106E00000X | |||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
3419 Valle Verde Dr
Napa, CA 94558-2414
Mailing address
3419 Valle Verde Dr
Napa, CA 94558-2414
Phone (707) 299-8250
National Provider Directory
National Provider Directory- Tax ID family
- Burnett Therapeutic Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavior Analyst
- Modesto, CA
- NPI 1467346007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592784000000",
"number": "1598388993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3419 VALLE VERDE DR",
"city": "NAPA",
"state": "CA",
"postal_code": "945582414",
"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": "3419 VALLE VERDE DR",
"city": "NAPA",
"state": "CA",
"postal_code": "945582414",
"telephone_number": "707-299-8250",
"fax_number": "707-635-8215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURNETT THERAPEUTIC SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-20",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A",
"authorized_official_last_name": "BURNETT",
"authorized_official_first_name": "MITZE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "707-227-4448"
},
"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 Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.