Healthcare Provider Details

I. General information

NPI: 1174044085
Provider Name (Legal Business Name): ANTHONY ROBERT BURNS MA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2017
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5510 ABRAMS RD STE 112
DALLAS TX
75214-2000
US

IV. Provider business mailing address

7500 SAN FELIPE ST STE 900
HOUSTON TX
77063-1798
US

V. Phone/Fax

Practice location:
  • Phone: 469-906-6372
  • Fax: 469-754-0920
Mailing address:
  • Phone: 281-826-3382
  • Fax: 425-491-7683

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number001832
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number6301
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: