Provider Demographics
NPI:1134468853
Name:BURNS, ANNA LEE (PHD, BCBA-D, LBA)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:LEE
Last Name:BURNS
Suffix:
Gender:F
Credentials:PHD, BCBA-D, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10810 DARNESTOWN RD STE 201
Mailing Address - Street 2:
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2603
Mailing Address - Country:US
Mailing Address - Phone:240-252-4105
Mailing Address - Fax:
Practice Address - Street 1:9711 WASHINGTONIAN BLVD STE 550
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-5789
Practice Address - Country:US
Practice Address - Phone:240-252-4105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-01
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD078103K00000X
MDA0346103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDA0346OtherMARYLAND BOARD OF EXAMINERS OF PSYCHOLOGISTS-PSYCHOLOGY ASSOCIATE
1-06-2721OtherBEHAVIOR ANALYST CERTIFICATION BOARD