Codi Nicole Burk, is a
Behavior Technician based in Fairbanks, Alaska. Codi Nicole Burk is licensed to practice in * (Not Available) (license number ) and her current practice location is
3520 Industrial Ave, Fairbanks, Alaska. She can be reached at her office (for appointments etc.) via phone at
(907) 378-8841.
NPI number for Codi Nicole Burk is 1619520335 and her current mailing address is Po Box 55178, North Pole, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619520335.
Healthcare Provider's Profile
| Full Name | Codi Nicole Burk |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 3520 Industrial Ave, Fairbanks, Alaska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619520335
- Provider Enumeration Date: 07/22/2019
- Last Update Date: 03/15/2022
Medical Identifiers
Medical identifiers for Codi Nicole Burk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619520335 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Codi Nicole Burk is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Codi Nicole Burk,
Po Box 55178,
North Pole, AK 99705-0178
Ph: (907) 378-8841 | Codi Nicole Burk,
3520 Industrial Ave,
Fairbanks, AK 99701-7376
Ph: (907) 378-8841 |
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