Active NPI
Crystal Burt, RBT
- Behavior Technician
- Leeds, AL
National Provider Identifier
1679462774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 1305905
- Practice address
- 350 Rex Lake Rd, Leeds, Al 35094
101
Leeds, AL 35094 - Phone
- (312) 965-2997
- NPI assigned
- Jul 2, 2025
- Last updated
- Jul 10, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 1305905 | AL | Primary |
Addresses
Primary practice location
350 Rex Lake Rd, Leeds, Al 35094
101
Leeds, AL 35094
Mailing address
350 Rex Lake Rd, Leeds, Al 35094
101
Leeds, AL 35094
Phone (312) 965-2997
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1305905 | AL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1679462774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 REX LAKE RD, LEEDS, AL 35094",
"address_2": "101",
"city": "LEEDS",
"state": "AL",
"postal_code": "35094",
"telephone_number": "312-965-2997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 REX LAKE RD, LEEDS, AL 35094",
"address_2": "101",
"city": "LEEDS",
"state": "AL",
"postal_code": "35094",
"telephone_number": "312-965-2997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURT",
"first_name": "CRYSTAL",
"name_prefix": "Mrs.",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-02",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AL",
"license": "1305905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leeds, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.