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NPI Code Detail

MEDICARE: KRISTA NICOLE VIEREGGE

MEDICARE: KRISTA NICOLE VIEREGGE
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 TechnicianTX

General Provider Information

NPI Number : 1174468623
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTA NICOLE VIEREGGE
Provider Business Mailing Address
First Line : 6824 LOGUE LN
Second Line :
City : WACO
State : TX
Zip : 76708-7241
Country : US
Telephone Number : 254-327-2001
Fax Number :
Provider Business Practice Location Address
First Line : 6824 LOGUE LN
Second Line :
City : WACO
State : TX
Zip : 76708-7241
Country : US
Telephone Number : 254-327-2001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2026
Last Update Date : 04/21/2026

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1619503471 — KELSEY MARIE SPARKS BCBA
Practice Location Address:
6824 LOGUE LN
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76708-7241
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Directions to “ KRISTA NICOLE VIEREGGE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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