Taylor Burris, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-40030 Issued in NC

Practice address

9800 Kincey Ave Ste 160
Huntersville, NC 28078-8402

Phone

(980) 785-1113

NPI assigned

Jun 5, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Mosaic Group, LLC

  • Behavior Analyst
  • Pineville, NC
  • NPI 1144682873
  NPD (past)
• Indigo Kids Behavioral Learning LLC

  • Behavior Analyst
  • Orlando, FL
  • NPI 1922553056
  NPD (past)

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1780176842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18441 STREAMLINE CT",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 KINCEY AVE STE 160",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280788402",
            "telephone_number": "980-785-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRIS",
        "first_name": "TAYLOR",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-19-40030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024932600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly Kim Huffman Bumgarner
• John Burcal
• Meagen Burelli, LPCA
• Abby Burkhard
• Jerrell Everton Burnett
• Jack Burton
• Carrie E Bush, MSN, FNP
• Mariela Petrova Busheva, NP-C
• Valerie J Bustamante
• Karen Elizabeth Butler, LPA

• All providers in Huntersville, NC
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.