Active NPI
Lagracia Burnett, M.E.
- Behavior Analyst
- Phila, PA
National Provider Identifier
1760750798
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jan 20, 2019.
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 8612 Forrest Ave
Phila., PA 19150 - Phone
- (267) 439-6721
- Fax
- (215) 248-1011
- NPI assigned
- Dec 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
8612 Forrest Ave
Phila., PA 19150
Mailing address
8612 Forrest Ave.
Phila., PA 19150
Phone (267) 439-6721
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Master of Engineering
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424649600000",
"number": "1760750798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8612 FORREST AVE.",
"city": "PHILA.",
"state": "PA",
"postal_code": "19150",
"telephone_number": "267-439-6721",
"fax_number": "215-248-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8612 FORREST AVE",
"city": "PHILA.",
"state": "PA",
"postal_code": "19150",
"telephone_number": "267-439-6721",
"fax_number": "215-248-1011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT",
"first_name": "LAGRACIA",
"name_prefix": "Ms.",
"credential": "M.E.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-05",
"last_updated": "2015-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phila, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.