Michael Lyle Burlison, is a
Behavior Technician based in Concord, California. Michael Lyle Burlison is licensed to practice in * (Not Available) (license number ) and his current practice location is
1200 Concord Ave Ste 185, Concord, California. He can be reached at his office (for appointments etc.) via phone at
(510) 268-8120.
NPI number for Michael Lyle Burlison is 1629644828 and his current mailing address is 4892 San Pablo Dam Rd, El Sobrante, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629644828.
Healthcare Provider's Profile
| Full Name | Michael Lyle Burlison |
|---|
| Gender | Male |
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| Speciality | Behavior Technician |
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| Location | 1200 Concord Ave Ste 185, Concord, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629644828
- Provider Enumeration Date: 05/28/2021
- Last Update Date: 03/11/2025
Medical Identifiers
Medical identifiers for Michael Lyle Burlison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629644828 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 81473 (California) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Lyle Burlison is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michael Lyle Burlison,
4892 San Pablo Dam Rd,
El Sobrante, CA 94803-3222
Ph: () - | Michael Lyle Burlison,
1200 Concord Ave Ste 185,
Concord, CA 94520-5006
Ph: (510) 268-8120 |
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