MIRIAM BURLAKOVSKY ED.S, BCBA, LEP#4368
NPI 1902616964
Psychologist - School in Pismo Beach, CA

Active since January 11, 2025
901 OAK PARK BLVD STE 202, PISMO BEACH, CA 93449(805) 316-1410 Get Directions Write a Review

NPPES record last updated: October 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2025, Jan 11, 2025 (2 updates tracked since 2025).

About Miriam Burlakovsky Ed.s, Bcba, Lep#4368 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRIAM BURLAKOVSKY ED.S, BCBA, LEP#4368 (NPI 1902616964) is an individual school provider in Pismo Beach, California, licensed in California (4368) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1902616964
Entity TypeIndividualFemale
Primary Taxonomy103TS0200X
Provider Legal NameMIRIAM BURLAKOVSKYCredential: ED.S, BCBA, LEP#4368
Location Address901 OAK PARK BLVD STE 202Pismo Beach, CA 93449-3410
Mailing AddressPo Box 565Pismo Beach, CA 93448-0565 · (805) 316-1410
Sole ProprietorYes
Enumeration DateJanuary 11, 2025
Last NPPES UpdateOctober 12, 20252 updates tracked since enumeration
NPPES CertifiedOctober 12, 2025
NPI 1902616964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · SchoolBehavioral Health & Social Service Providers
Taxonomy Code103TS0200X
License Licensed in CA · 4368
Definition
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
Also ListedBehavior AnalystTaxonomy 103K00000X · License 1-12-10527 (CA)
901 OAK PARK BLVD STE 202, Pismo Beach, CA 93449

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
901 OAK PARK BLVD STE 202
PISMO BEACH, CA 93449
Preventive Medicine (Occupational Medicine)
901 OAK PARK BLVD STE 202
PISMO BEACH, CA 93449

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miriam Burlakovsky's NPI number?

The NPI number for Miriam Burlakovsky is 1902616964. It was assigned to this individual provider in the NPPES registry on January 11, 2025.

Where is Miriam Burlakovsky located?

Miriam Burlakovsky practices at 901 Oak Park Blvd Ste 202, Pismo Beach, CA 93449. The listed phone number is (805) 316-1410.

What is Miriam Burlakovsky's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.

When was this NPI record last updated?

The NPPES record for Miriam Burlakovsky was last updated on October 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.