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NPI Code Detail

MEDICARE: VICTORIA BERGER

MEDICARE: VICTORIA BERGER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-20-137472TX

General Provider Information

NPI Number : 1093316150
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA BERGER
Provider Business Mailing Address
First Line : 2310 TACOMA CT
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-6863
Country : US
Telephone Number : 281-853-5278
Fax Number :
Provider Business Practice Location Address
First Line : 105 E SHADOWBEND AVE
Second Line :
City : FRIENDSWOOD
State : TX
Zip : 77546-3859
Country : US
Telephone Number : 855-782-7822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2020
Last Update Date : 11/05/2020

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Directions to “ VICTORIA BERGER ” Practice Location

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