NPI 1154814820 · live from the CMS NPI Registry
Hailey Breanne Berg
Behavior Analyst in Medford, OR. National Provider Identifier 1154814820, active.
NPI record
| NPI | 1154814820 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 711 E Main St, Medford, OR 97504 |
| Practice phone | 541-399-8081 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367 |
| Enumerated | June 7, 2018 |
| Last updated | June 7, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Behavior Analyst primary | 103K00000X | — (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.