NPI 1144908757 · live from the CMS NPI Registry
Jacqueline N Berg, RBT
Behavior Analyst in O Fallon, MO. National Provider Identifier 1144908757, active.
NPI record
| NPI | 1144908757 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1818 Sapling Dr, O Fallon, MO 63366 |
| Practice phone | 314-498-9537 |
| Enumerated | July 5, 2023 |
| Last updated | July 5, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.