Provider / Organization | NPI | Date Certified |
---|---|---|
STEPHANIE ROSE BERG | 1104432681 | 2020-09-19 |
Stephanie Rose Berg is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1104432681. Registration indicates Stephanie Rose Berg is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
Entity Type | Individual |
Provider Name | Stephanie Rose Berg RBT |
Practice Office Address | 124 E MIRACLE STRIP PKWY STE 503 MARY ESTHER, FL US |
Practice Office Telephone | 8503010438 |
Mailing Address | 124 E MIRACLE STRIP PKWY STE 503 MARY ESTHER, FL 325691991 US |
Business Telephone | 8503010438 |
Code | Practice | License No State |
---|---|---|
106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |