Provider Demographics
NPI:1942699285
Name:BURKETT, BRIANA (MS, BCBA)
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:
Last Name:BURKETT
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 MILITARY TRL STE 101B
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-5700
Mailing Address - Country:US
Mailing Address - Phone:561-758-4540
Mailing Address - Fax:561-909-2068
Practice Address - Street 1:875 MILITARY TRL STE 101B
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-5700
Practice Address - Country:US
Practice Address - Phone:561-758-4540
Practice Address - Fax:561-909-2068
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-09
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst