Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRIAM BURLAKOVSKY, ED.S, BCBA, LEP#4368
Active Sole ProprietorMIRIAM BURLAKOVSKY, ED.S, BCBA, LEP#4368 is a School Psychologist healthcare provider located in PISMO BEACH, California. NPI 1902616964 is currently active in the NPPES registry. Verify at CMS.
School Psychologist · PISMO BEACH, CA
Registration Details
- NPI Number
- 1902616964
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 11, 2025 (1.4070033235602 yrs)
- Last Updated
- Oct 12, 2025
- Licenses
-
1-12-10527 (CA)4368 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
901 OAK PARK BLVD STE 202PISMO BEACH, CA, 934493410Browse CA providers · Browse ZIP 93449
- Phone
- 8053161410
- Primary Specialty
-
School Psychologist
103TS0200X
- Additional Specialty
- School Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.