Lisa Dawn Burgard

Individual provider Active NPI Behavior Analyst · Carmel, CA

NPI 1982293908 · NPPES record last updated Jan 14, 2021

Key facts

NPI
1982293908
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
316 Mid Valley Ctr # 186
Carmel, CA 93923-8516
Phone
(719) 289-6327
NPI assigned
Jan 14, 2021
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)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

316 Mid Valley Ctr # 186
Carmel, CA 93923-8516

Mailing address

316 Mid Valley Ctr # 186
Carmel, CA 93923-8516
Phone (719) 289-6327

Other providers in Carmel, CA

All providers in Carmel, CA · Behavior Analyst in California

Sources for this page

Verify at the official NPI Registry.