JENNIFER BURDISH
NPI 1669921722
Behavior Analyst in Port Jefferson Station, NY

Active since September 29, 2016
3 NORTON AVE, PORT JEFFERSON STATION, NY 11776(631) 831-6988 Get Directions Write a Review

NPPES record last updated: March 3, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2017, Sep 29, 2016 (2 updates tracked since 2016).

About Jennifer Burdish NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER BURDISH (NPI 1669921722) is an individual behavior analyst provider in Port Jefferson Station, New York, licensed in New York (1-16-24856) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1669921722
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameJENNIFER BURDISH
Location Address3 NORTON AVEPort Jefferson Station, NY 11776-4402
Mailing Address3 Norton AvePort Jefferson Station, NY 11776-4402 · (631) 831-6988
Sole ProprietorYes
Enumeration DateSeptember 29, 2016
Last NPPES UpdateMarch 3, 20172 updates tracked since enumeration
NPI 1669921722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License Licensed in NY · 1-16-24856
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 742427131 (NY), 926923151 (NY)
3 NORTON AVE, Port Jefferson Station, NY 11776

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Burdish's NPI number?

The NPI number for Jennifer Burdish is 1669921722. It was assigned to this individual provider in the NPPES registry on September 29, 2016.

Where is Jennifer Burdish located?

Jennifer Burdish practices at 3 Norton Ave, Port Jefferson Station, NY 11776. The listed phone number is (631) 831-6988.

What is Jennifer Burdish's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Burdish was last updated on March 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.