Miriam Burlakovsky, EDS, BCBA, LEP#4368 is a
Behavior Analyst based in Pismo Beach, California. Miriam Burlakovsky is licensed to practice in California (license number 1-12-10527) and her current practice location is
901 Oak Park Blvd Ste 202, Pismo Beach, California. She can be reached at her office (for appointments etc.) via phone at
(805) 316-1410.
NPI number for Miriam Burlakovsky is 1902616964 and her current mailing address is Po Box 565, Pismo Beach, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902616964.
Healthcare Provider's Profile
Full Name | Miriam Burlakovsky |
---|
Gender | Female |
---|
Speciality | Behavior Analyst |
---|
Location | 901 Oak Park Blvd Ste 202, Pismo Beach, California |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902616964
- Provider Enumeration Date: 01/11/2025
- Last Update Date: 01/11/2025
Medical Identifiers
Medical identifiers for Miriam Burlakovsky such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902616964 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | 4368 (California) | Secondary |
103K00000X | Behavior Analyst | 1-12-10527 (California) | 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. Miriam Burlakovsky 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 |
Miriam Burlakovsky, EDS, BCBA, LEP#4368 Po Box 565, Pismo Beach, CA 93448-0565 Ph: (805) 316-1410 | Miriam Burlakovsky, EDS, BCBA, LEP#4368 901 Oak Park Blvd Ste 202, Pismo Beach, CA 93449-3410 Ph: (805) 316-1410 |
Reviews and Comments