Stephanie Rose Berg, RBT

NPI #1104432681 in Mary Esther, Florida

Provider Information

NPI Number: 1104432681
Entity Type: Individual
Name: Stephanie Rose Berg, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Sep 19, 2020
Last Updated: Sep 19, 2020

Practice Location

Address: 124 E MIRACLE STRIP PKWY STE 503
City: Mary Esther
State: Florida
ZIP Code: 32569-1991
Phone: (850) 301-0438

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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