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Deactivated NPI 1093395626 Deactivated / Inactive NPI Female Practitioner

Shelby Burdette

Assistant Behavior Analyst • Port Orange, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Shelby Burdette has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 08, 2021
NPI Deactivation Date May 20, 2022
Total Practice Duration ~1 Years of Practice (2021 – 2022)

Professional Overview & Biography Verified Profile Summary

Shelby Burdette was a registered Assistant Behavior Analyst practicing in Port Orange, FL. Throughout an active medical career spanning 1 years, Shelby Burdette provided care at the practice location at 6315 S WILLIAMSON BLVD APT 124 until profile deactivation on 2022-05-20.

Practice Location & Contact Primary Location

Practice Address

6315 S Williamson Blvd Apt 124

Port Orange, FL 321286096

Telephone 3864536315

Specialty Benchmarks & Practice Insights

Comparative analytics for Assistant Behavior Analyst in Port Orange, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Port Orange, FL (2321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Assistant Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 106E00000X

State License FL 508

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated May 20, 2022

Record deactivated on May 20, 2022

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2021

Counselor

NPI Profile Active April 08, 2021

NPI status registered as active in NPPES database

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Updated Practice Location April 08, 2021

Registered at 6315 S WILLIAMSON BLVD APT 124, PORT ORANGE, FL 321286096 (Tel: 3864536315)

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Updated Business Mailing Address April 08, 2021

Registered at 6315 S WILLIAMSON BLVD APT 124, PORT ORANGE, FL 321286096 (Tel: 4049348195)

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Provider Name / Credentials Updated April 08, 2021

Recorded as SHELBY BURDETTE

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2021

Assistant Behavior Analyst (License #508 in FL)

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Initial NPI Registration & Enumeration April 08, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093395626
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2021
Last Update: April 08, 2021
Deactivation Date: May 20, 2022

Mailing Address

6315 S Williamson Blvd Apt 124

Port Orange, FL 321286096

Phone: 4049348195

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.