Active NPI
Kaitlin Burdette
- Behavior Analyst
- Richmond, VA
National Provider Identifier
1730675265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0133001109
- Practice address
- 1011 E Main St Ste 210B
Richmond, VA 23219-3546 - Phone
- (571) 419-2892
- NPI assigned
- Jul 9, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 262122 | KY | |
| Behavior Analyst | 103K00000X | LBA453 | MD | |
| Behavior Analyst | 103K00000X | 0133001109 | VA | Primary |
Addresses
Primary practice location
1011 E Main St Ste 210B
Richmond, VA 23219-3546
Mailing address
10200 Forest Green Blvd Ste 112
Louisville, KY 40223-5167
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 |
|---|---|---|---|
| 262122 | KY | MD | Behavioral Analyst |
| LBA453 | MD | MD | Behavioral Analyst |
| 0133001109 | VA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acorn Behavior Consulting | Behavior Analyst | Current | Accepting new patients |
| Burdette ABA, LLC | Current | Accepting new patients | |
| River Branch ABA | Behavior Analyst | Current | Accepting new patients |
| Perfect Pair ABA VA LLC | Behavior Analyst | Past | Accepting new patients |
| Supportive Care ABA in LLC | Behavior Analyst | Past | Accepting new patients |
Locations
1011 E Main St
Ste 210B
Richmond, VA 23219
Phone (571) 419-2892
Organizations & group practices 5
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.
-
- Community/Behavioral Health Agency
- Richmond, VA
- NPI 1366028540
-
- Behavior Analyst
- Richmond, VA
- NPI 1063297059
-
- Behavior Analyst
- Greensboro, NC
- NPI 1457295123
-
- Behavior Analyst
- Richmond, VA
- NPI 1457129116
-
- Behavior Analyst
- Greenwood, IN
- NPI 1003539305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1730675265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10200 FOREST GREEN BLVD STE 112",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 E MAIN ST STE 210B",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232193546",
"telephone_number": "571-419-2892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDETTE",
"first_name": "KAITLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-09",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "KY",
"license": "262122",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MD",
"license": "LBA453",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133001109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.