Healthcare Provider Details

I. General information

NPI: 1558284257
Provider Name (Legal Business Name): ANIYAH BURTON-FAIRFAX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 QUINCE PL
CHESAPEAKE VA
23320-0769
US

IV. Provider business mailing address

709 QUINCE PL
CHESAPEAKE VA
23320-0769
US

V. Phone/Fax

Practice location:
  • Phone: 757-678-8134
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT262833669
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: