Provider Demographics
NPI:1619841616
Name:BURTON, JAMEELA YASMIN
Entity type:Individual
Prefix:
First Name:JAMEELA
Middle Name:YASMIN
Last Name:BURTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4405 TORTUGA LN
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-7362
Mailing Address - Country:US
Mailing Address - Phone:469-352-7050
Mailing Address - Fax:
Practice Address - Street 1:1630 W PROSPER TRL
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-3741
Practice Address - Country:US
Practice Address - Phone:469-715-1143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician