NPI Code Detail JSON Logo

1841817608 NPI number — JENNIFER LYNN BURTO M.A., BCBA, LBA

NPI Number: 1841817608
Health Care Provider/Practitioner: JENNIFER LYNN BURTO M.A., BCBA, LBA

Information about “1841817608” NPI (JENNIFER LYNN BURTO M.A., BCBA, LBA) exists in 1841817608 in HTML format HTML  |  1841817608 in plain Text format TXT  |  1841817608 in PDF (Portable Document Format) PDF  |  1841817608 in an XML format XML  formats.

NPI Number : 1841817608 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1841817608",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BURTO",
    "FirstName": "JENNIFER",
    "MiddleName": "LYNN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.A., BCBA, LBA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CHRISTENSEN",
    "OtherFirstName": "JENNIFER",
    "OtherMiddleName": "LYNN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "6301 HUDSON CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MARSHALL",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "20115-6554",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-549-4888",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "601 CATOCTIN CIR NE BLDG 581",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LEESBURG",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "20176-4964",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-857-2157",
    "PracticeLocationAddressFaxNumber": "703-777-1935",
    "EnumerationDate": "06/28/2020",
    "LastUpdateDate": "07/12/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "106S00000X",
          "TaxonomyName": "Behavior Technician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103K00000X",
          "TaxonomyName": "Behavior Analyst",
          "LicenseNumber": "0133002308",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.