Joesph Antony Burress

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

Y4439763 Issued in CA

Practice address

1601 S de Anza Blvd Ste 110
Cupertino, CA 95014-5358

Phone

(669) 210-0301

NPI assigned

Apr 2, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1689203598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807",
            "telephone_number": "818-345-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S DE ANZA BLVD STE 110",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950145358",
            "telephone_number": "669-210-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRESS",
        "first_name": "JOESPH",
        "middle_name": "ANTONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "Y4439763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "XEA909399709",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grover C Bryan
• Sophia I. Bulucea, DMD
• Melody Elizabeth Bumgardner, PH.D.
• Kerry Lynn Bunger, MA OTR/L
• Jazmin Catalina Buntic, LMFT
• Michael Burry, M.D.
• Megan Bustle, RN
• Renuka Buty
• Rene Cabaluna
• Martin Alberto Cadena, LMFT

• Behavior Analyst in Cupertino, CA
• Providers in Cupertino, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.