Provider Demographics
NPI:1740675578
Name:BURKEY, NICHOLAS (BCBA)
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:
Last Name:BURKEY
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 ARLINGTON AVE
Mailing Address - Street 2:APT 25
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2628
Mailing Address - Country:US
Mailing Address - Phone:415-686-1765
Mailing Address - Fax:
Practice Address - Street 1:25 ARLINGTON AVE
Practice Address - Street 2:APT 25
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2628
Practice Address - Country:US
Practice Address - Phone:415-686-1765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-30
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst