DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TALIA ROSE GOLDBERG

MEDICARE: TALIA ROSE GOLDBERG
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

General Provider Information

NPI Number : 1477218915
Entity Type Code : Individual
Provider Name (Legal Business Name) : TALIA ROSE GOLDBERG
Provider Business Mailing Address
First Line : 139 CEDAR ST
Second Line :
City : EAST LANSING
State : MI
Zip : 48823-4865
Country : US
Telephone Number : 732-691-0022
Fax Number :
Provider Business Practice Location Address
First Line : 100 N STAEBLER RD
Second Line :
City : ANN ARBOR
State : MI
Zip : 48103-9862
Country : US
Telephone Number : 734-252-6522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2021
Last Update Date : 10/31/2021

Similar Medicare Providers

1356297725 — MADISON TESZNAR
Practice Location Address:
100 N STAEBLER RD STE B
ANN ARBOR, MI
48103-9862
Practice Phone: 734-252-6522
Practice Fax:
1083560452 — AMBER WHITE
Practice Location Address:
100 N STAEBLER RD STE B
ANN ARBOR, MI
48103-9862
Practice Phone: 734-252-6522
Practice Fax:
1891024329 — ALLISON SINGER
Practice Location Address:
100 N STAEBLER RD
ANN ARBOR, MI
48103-9862
Practice Phone: 734-252-6522
Practice Fax:
1891050126 — MRS. ANGIE MARIE FUQUA M.A.
Practice Location Address:
100 N STAEBLER RD STE B
ANN ARBOR, MI
48103-9862
Practice Phone: 734-252-6522
Practice Fax:
1588205694 — QIUHUI YU
Practice Location Address:
100 N STAEBLER RD STE B
ANN ARBOR, MI
48103-9862
Practice Phone: 734-252-6522
Practice Fax:
1942817465 — HEATHER ANN REPPERT
Practice Location Address:
100 N STAEBLER RD STE B
ANN ARBOR, MI
48103-9862
Practice Phone: 734-252-6522
Practice Fax:

Directions to “ TALIA ROSE GOLDBERG ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.