Healthcare Provider Details

I. General information

NPI: 1003498502
Provider Name (Legal Business Name): BRITTANY N BURBA CPC-INTERN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2021
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 SAINT ROSE PKWY STE 310
HENDERSON NV
89074-7790
US

IV. Provider business mailing address

2520 SAINT ROSE PKWY STE 310
HENDERSON NV
89074-7790
US

V. Phone/Fax

Practice location:
  • Phone: 702-496-6562
  • Fax:
Mailing address:
  • Phone: 702-496-6562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCI5478
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: