Lester Burgess
Individual provider Active NPI Behavior Analyst · Woodruff, SC
NPI 1013385392 · NPPES record last updated Sep 3, 2015
Key facts
- NPI
- 1013385392
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 751 E Georgia Rd
Woodruff, SC 29388-8787 - Phone
- (864) 476-7400
- NPI assigned
- Sep 3, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
751 E Georgia Rd
Woodruff, SC 29388-8787
Mailing address
121 Watercourse Way
Greer, SC 29651-1915
Other providers in Woodruff, SC
- Scott Braud
- Ashley Breckenridge
- Thomas Fordham Brewer
- Brookstone Terrace of Woodruff, LLC
- BST Family Hospice LLC
- Byrd Medical Associates LLC
- Edwin Oscar Byrd III
- C & C Mobility, LLC
- Eric William Campbell
- Caring Adventurers, LLC
All providers in Woodruff, SC · Behavior Analyst in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.