Individual provider Active NPI

Chad M Burns, BEHAVIORAL ANALYST

  • Behavior Analyst
  • San Marcos, TX
National Provider Identifier
1770135790
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2556 Issued in TX
Practice address
1517 Aquarena Springs Dr Ste E
San Marcos, TX 78666-7261
Phone
(512) 644-1627
NPI assigned
Jul 10, 2019
Last updated
Sep 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 2556 TX Primary

Addresses

Primary practice location

1517 Aquarena Springs Dr Ste E
San Marcos, TX 78666-7261

Mailing address

530 Melissa LN
New Braunfels, TX 78130-3939
Phone (512) 644-1627

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
2556TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
ABA San Marcos LLC Behavior Analyst CurrentSince Jul 28, 2019 Accepting new patients

Locations

1517 Aquarena Springs Dr
Ste E
San Marcos, TX 78666
Phone (512) 644-1627

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1770135790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 MELISSA LN",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303939",
            "telephone_number": "512-644-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 AQUARENA SPRINGS DR STE E",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667261",
            "telephone_number": "512-644-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "CHAD",
        "middle_name": "M",
        "credential": "BEHAVIORAL ANALYST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-10",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "2556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.