Individual provider Active NPI

Heather Burchett, BCBA

  • Behavior Analyst
  • Blacksburg, VA
National Provider Identifier
1811537616
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
L-412 Issued in LA
Practice address
106 Faculty St
Blacksburg, VA 24060-7316
Phone
(417) 880-8372
NPI assigned
Jan 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 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 L-412 LA Primary

Addresses

Primary practice location

106 Faculty St
Blacksburg, VA 24060-7316

Mailing address

106 Faculty St
Blacksburg, VA 24060-7316
Phone (417) 880-8372

Other practice location 1

1106 N 155th St Ste B
Basehor, KS 66007-7100
Phone (913) 662-7071

Other names 1

  • Heather Bell Former name

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
L-412LAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Group, LLC Behavior Analyst PastSince Apr 24, 2022 Accepting new patients
Hari Srinivasa PastSince Oct 23, 2022 Accepting new patients

Organizations & group practices 2

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": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1811537616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 FACULTY ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607316",
            "telephone_number": "417-880-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 FACULTY ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607316",
            "telephone_number": "417-880-8372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 N 155th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Basehor",
            "state": "KS",
            "postal_code": "660077100",
            "country_code": "US",
            "telephone_number": "913-662-7071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURCHETT",
        "first_name": "HEATHER",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "L-412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "BELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blacksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.