Provider Demographics
NPI:1821307018
Name:BURKS, ALISON E (AUD)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:E
Last Name:BURKS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3987 BUCKTHORN CT
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-4809
Mailing Address - Country:US
Mailing Address - Phone:805-947-3132
Mailing Address - Fax:805-834-2760
Practice Address - Street 1:1000 S HILL RD STE 330
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-4455
Practice Address - Country:US
Practice Address - Phone:805-947-3132
Practice Address - Fax:805-834-2760
Is Sole Proprietor?:No
Enumeration Date:2010-10-05
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU2753231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist