IndividualActive
Jacquavious Burt
NPI 1205564440 · Behavior Technician · Bridgeport, MI
Jacquavious Burt is a Behavior Technician provider in Bridgeport, MI (NPI 1205564440).
Provider details
- NPI number
- 1205564440
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 630356139055 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6296 Bridgeport Village Square Dr Ste 2
Bridgeport, MI 48722-9655
Phone: (989) 401-1239
Street-level locationGet directions
Mailing address
5039 Villa Linde Pkwy Ste 30
Flint, MI 48532-3450
Registry dates
- Enumerated
- 2022-08-14
- Last updated
- 2022-08-14
- Certified
- 2022-08-14
Frequently asked questions
- What is Jacquavious Burt's NPI number?
- Jacquavious Burt's National Provider Identifier (NPI) is 1205564440, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacquavious Burt's specialty?
- Jacquavious Burt is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jacquavious Burt located?
- Jacquavious Burt's practice location on file with NPPES is 6296 Bridgeport Village Square Dr Ste 2, Bridgeport, MI 48722-9655.
- What is Jacquavious Burt's phone number?
- The practice phone number listed in the NPPES registry for Jacquavious Burt is (989) 401-1239.
- Is Jacquavious Burt's NPI active?
- Yes — Jacquavious Burt's NPI (1205564440) is active in the NPPES registry as of the last update on 2022-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.