Anna Kaitlyn Bundrick, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

L-313 Issued in LA

Practice address

1651 E. 70TH St Suite 2-a
Shreveport, LA 71105

Phone

(877) 315-8080

NPI assigned

Aug 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Positive Reinforcement Behavior Therapy, Inc

  • Behavior Analyst
  • Manchester, NH
  • NPI 1801425699
  NPD
• Behavior Train

  • Behavior Analyst
  • West Monroe, LA
  • NPI 1528437050
  NPD (past)
• Positive Reinforcement ABA Therapy Inc.

  • Community/Behavioral Health Agency
  • Manchester, NH
  • NPI 1073959128

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1679055396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 S WILLOW ST STE 266",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031035751",
            "telephone_number": "877-315-8080",
            "fax_number": "877-345-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 E. 70TH ST SUITE 2-A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71105",
            "telephone_number": "877-315-8080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "628 Commercial Pkwy Ste 2",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712928062",
            "country_code": "US",
            "telephone_number": "318-588-5908",
            "fax_number": "318-588-8909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNDRICK",
        "first_name": "ANNA",
        "middle_name": "KAITLYN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "313",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "L-313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanisha Bullard
• Melonie Bullock-Sanders, N/A
• Elaine S Bullock
• Benjamin Joseph Bumgardner, D.D.S.
• Bundrick and O'Neal Plastic Surgery (AMC)
• Claude Youngblood Bundrick Jr., MD
• Jennifer K. Bundrick, MD
• Paige Bundrick, MD
• Trevor John Bunger, DO
• Noah Andrew Bunting

• Behavior Analyst in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Behavior Analyst in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.