Healthcare Provider Details

I. General information

NPI: 1285579458
Provider Name (Legal Business Name): CELESTE ALEXIS BURNS BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1585 S PERRY ST
CASTLE ROCK CO
80104-1976
US

IV. Provider business mailing address

6825 E ILIFF AVE APT 310
DENVER CO
80224-2545
US

V. Phone/Fax

Practice location:
  • Phone: 720-896-8061
  • Fax:
Mailing address:
  • Phone: 214-497-4584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: