NPI 1275022352 · live from the CMS NPI Registry
Karissa Berg, RBT
Behavior Analyst in Perham, MN. National Provider Identifier 1275022352, active.
NPI record
| NPI | 1275022352 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 735 3rd St Sw, Perham, MN 56573 |
| Practice phone | 218-214-9950 |
| Mailing address | 1105 W Russell St, Sioux Falls, SD 57104 |
| Enumerated | May 4, 2018 |
| Last updated | September 24, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | 1-21-53014 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.