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NPI Code Detail

MEDICARE: KAYLA BERGMANN

MEDICARE:   KAYLA  BERGMANN
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 Technician
2103K00000XBehavior AnalystBH008324PA

General Provider Information

NPI Number : 1447939830
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA BERGMANN
Provider Business Mailing Address
First Line : 640 FREEDOM BUSINESS CTR DR STE 220
Second Line :
City : KING OF PRUSSIA
State : PA
Zip : 19406-1376
Country : US
Telephone Number : 484-965-9966
Fax Number : 484-231-8361
Provider Business Practice Location Address
First Line : 1700 WESTGATE DR
Second Line :
City : YORK
State : PA
Zip : 17408-6361
Country : US
Telephone Number : 484-965-9966
Fax Number : 484-231-8631
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2023
Last Update Date : 04/07/2026

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Directions to “ KAYLA BERGMANN ” Practice Location

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