Alicia Burgess
Individual provider Active NPI Behavior Technician · Brandenburg, KY
NPI 1346893971 · NPPES record last updated Jul 23, 2019
Key facts
- NPI
- 1346893971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-18-69435
- Practice address
- 51 Summitt Dr
Brandenburg, KY 40108-1435 - Phone
- (804) 551-1032
- NPI assigned
- Jul 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | RBT-18-69435 | Yes |
Addresses
Primary practice location
51 Summitt Dr
Brandenburg, KY 40108-1435
Mailing address
51 Summitt Dr
Brandenburg, KY 40108-1435
Other providers in Brandenburg, KY
- Brandenburg Pharmacy Care LLC
- Bridgette Ann Brown
- Marquita Lytrese Brown
- Markeesha Danielle Bruner
- Dana Carol Buren
- Dave Burgoon
- Carla Burns
- Kandace Burton
- Alecia Nicole Byassee
- Cardiac Care Center of Louisville, PLLC
All providers in Brandenburg, KY · Behavior Technician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2019. 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.