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NPI Code Detail

MEDICARE: MICHELLE GEERING BCBA

MEDICARE: MICHELLE GEERING BCBA
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
1103K00000XBehavior Analyst1-12-9835
2103K00000XBehavior Analyst1-12-10206

General Provider Information

NPI Number : 1811261407
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE GEERING BCBA
Provider Business Mailing Address
First Line : 1025 ATLANTIC AVE STE 101
Second Line :
City : ALAMEDA
State : CA
Zip : 94501-1188
Country : US
Telephone Number : 650-636-7454
Fax Number :
Provider Business Practice Location Address
First Line : 1025 ATLANTIC AVE STE 101
Second Line :
City : ALAMEDA
State : CA
Zip : 94501-1188
Country : US
Telephone Number : 650-636-7454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/29/2012
Last Update Date : 06/04/2019

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Directions to “ MICHELLE GEERING BCBA” Practice Location

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