Healthcare Provider Details

I. General information

NPI: 1831052554
Provider Name (Legal Business Name): GABRIEL BURR RBT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 S ACADEMY BLVD
COLORADO SPRINGS CO
80910-2713
US

IV. Provider business mailing address

PO BOX 151716
AUSTIN TX
78715-1716
US

V. Phone/Fax

Practice location:
  • Phone: 512-898-9044
  • Fax: 512-857-1423
Mailing address:
  • Phone: 512-898-9044
  • Fax: 512-857-1423

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-496260
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: