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NPI Code Detail

MEDICARE: GABRIELLA BERMINGHAM

MEDICARE: GABRIELLA BERMINGHAM
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 : 1932855954
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELLA BERMINGHAM
Provider Business Mailing Address
First Line : 5850 GRANITE PKWY STE 600
Second Line :
City : PLANO
State : TX
Zip : 75024-6753
Country : US
Telephone Number : 916-540-8771
Fax Number :
Provider Business Practice Location Address
First Line : 5850 GRANITE PKWY STE 600
Second Line :
City : PLANO
State : TX
Zip : 75024-6753
Country : US
Telephone Number : 916-540-8771
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2022
Last Update Date : 01/16/2023

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Directions to “ GABRIELLA BERMINGHAM ” Practice Location

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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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