Active NPI
Alicia Burger
- Behavior Analyst
- Hershey, PA
National Provider Identifier
1619501079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH001261
- Practice address
- 1021 Springboard Dr
Hershey, PA 17033-8820 - Phone
- (717) 583-5102
- NPI assigned
- Feb 25, 2020
- 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 | BH001261 | PA | Primary |
Addresses
Primary practice location
1021 Springboard Dr
Hershey, PA 17033-8820
Mailing address
1021 Springboard Dr
Hershey, PA 17033-8820
Phone (717) 583-5102
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | vistaautismservices.org |
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 |
|---|---|---|---|
| BH001261 | PA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582588800000",
"number": "1619501079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 SPRINGBOARD DR",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170338820",
"telephone_number": "717-583-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 SPRINGBOARD DR",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170338820",
"telephone_number": "717-583-5102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGER",
"first_name": "ALICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-25",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH001261",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "vistaautismservices.org",
"affiliation": "N",
"address_1": "1021 Springboard Dr",
"city": "Hershey",
"state": "PA",
"country_code": "US",
"postal_code": "170338820",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hershey, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.