Active NPI
Lakisha S Burrough
- Behavior Analyst
- Oklahoma City, OK
National Provider Identifier
1124370549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- KO81319431
- Practice address
- 401 Pinehurst Dr
Oklahoma City, OK 73130-3208 - Phone
- (405) 600-5154
- NPI assigned
- Oct 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | KO81319431 | OK | Primary |
Addresses
Primary practice location
401 Pinehurst Dr
Oklahoma City, OK 73130-3208
Mailing address
401 Pinehurst Dr
Oklahoma City, OK 73130-3208
Phone (405) 600-5154
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OC4184 | Other | OK | OTHER INS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KO81319431 | OK | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1124370549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 PINEHURST DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731303208",
"telephone_number": "405-600-5154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 PINEHURST DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731303208",
"telephone_number": "405-600-5154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURROUGH",
"first_name": "LAKISHA",
"middle_name": "S",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-09",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OK",
"license": "KO81319431",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER INS",
"identifier": "OC4184",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.