GABRIELLE MARIE BURNS, MA, BCBA — NPI 1053218594 (Licensed & Credentialed Behavior Analyst in WILTON, CT)

CMS-1500 Box 24J / 33a • NPI

1053218594

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103K00000X

Licensed & Credentialed Behavior Analyst

Box 32 Service Location & ZIP+4

11 GRUMMAN HILL RD, WILTON, CT, 06897-4500

✓ 9-Digit EDI 837 ZIP+4 (06897-4500)

Practice Phone & Referral Fax

(203) 563-9360

Fax: (203) 654-3531

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1053218594 (GABRIELLE MARIE BURNS, MA, BCBA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1053218594` (NPI-1 Individual Practitioner)
Provider / Legal Name	GABRIELLE MARIE BURNS, MA, BCBA
Plain-English Specialty	Licensed & Credentialed Behavior Analyst NUCC Code: `103K00000X` (Behavior Analyst)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	11 GRUMMAN HILL RD, WILTON, CT, 06897-4500
Practice Telephone / Fax	Tel: (203) 563-9360 \| Fax: (203) 654-3531
Administrative Mailing Address	45 MICHAEL LN, NAUGATUCK, CT, 06770-1556
Enumeration & Last Sync	Enumerated: 2026-10-20 \| CMS Record Updated: 2026-10-20

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

11 GRUMMAN HILL RD, WILTON, CT, 06897-4500

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Plain-English Taxonomy & CMS Crosswalk (103K00000X)

What Does Taxonomy Code 103K00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103K00000X translates to:
"Licensed & Credentialed Behavior Analyst"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Behavior Analyst for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (GABRIELLE MARIE BURNS, MA, BCBA)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103K00000X` — Behavior Analyst Plain English: Licensed & Credentialed Behavior Analyst	State: CT \| License: `2389` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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GABRIELLE MARIE BURNS, MA, BCBA (NPI #1053218594)