Alicia M Burnett

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

8555 Cava Dr
Rancho Cucamonga, CA 91730-8717

Phone

(909) 749-5204

Fax

(909) 774-0113

NPI assigned

Mar 2, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Behavior Genius LLC

  • Behavior Analyst
  • Ontario, CA
  • NPI 1720626138

  Behavior Technician

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1801420567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8555 CAVA DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308717",
            "telephone_number": "909-749-5204",
            "fax_number": "909-774-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8555 CAVA DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308717",
            "telephone_number": "909-749-5204",
            "fax_number": "909-774-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "ALICIA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "behaviorgenius.hr@gmail.com",
            "affiliation": "N",
            "address_1": "8555 Cava Dr",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917308717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paul Leslie Burdette Jr.
• Scarlett Jannete Burgos
• Hugh Derward Burke Jr., DDS
• Alexandra Faythe Burleson Parker
• Pantera Burligame
• Cameron Lovell Burnett, MSW
• Kayla Burnette
• Rebecca Anne Burney, MSN, RN
• Veronica Burnside, RBT
• Keenya Burries

• Behavior Technician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.

Verify at the official NPI Registry.