Organization
BURDETTE ABA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLIN BURDETTE BCBA (OWNER)
(571) 419-2892
Entity
Organization
Contact information
Practice address
1011 E MAIN ST STE 210B, RICHMOND, VA 23219-3546
(571) 419-2892
Mailing address
1011 E MAIN ST STE 210B, RICHMOND, VA 23219-3546
(571) 419-2892
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730675265
NPI
—
Enumeration date
03/19/2021
Last updated
11/20/2023
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