Individual provider Active NPI

Kaitlin Burdette

  • Behavior Analyst
  • Richmond, VA
National Provider Identifier
1730675265
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133001109 Issued in VA
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

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
262122KYMDBehavioral Analyst
LBA453MDMDBehavioral Analyst
0133001109VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Acorn Behavior Consulting Behavior Analyst Current Accepting new patients
Burdette ABA, LLC CurrentSince Aug 6, 2023 Accepting new patients
River Branch ABA Behavior Analyst CurrentSince Sep 5, 2023 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.

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.

Verify at the official NPI Registry.