Alissa Brook Burg
Behavior Technician in Phoenix, AZ. Individual provider (NPI-1).
NPI number1316536717
StatusActive
Last updated in NPPESJan 12, 2021
Details
- NPI
- 1316536717
- Entity type
- Individual (NPI-1)
- Name
- Alissa Brook Burg
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 12, 2021
- Certification date
- Jan 11, 2021
- Last updated
- Jan 12, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | D06686009 | AZ | Yes |
Other names
- Alissa Smith (Former Name)
Practice location
2400 W Dunlap Ave Ste 100Phoenix, AZ 85021-2813
Phone 602-325-2485
Mailing address
21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807
Phone 818-345-2345
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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