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NPI Code Detail

MEDICARE: XIANNAH BERUMEN

MEDICARE: XIANNAH BERUMEN
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 : 1245197516
Entity Type Code : Individual
Provider Name (Legal Business Name) : XIANNAH BERUMEN
Provider Business Mailing Address
First Line : 996 ROYAL MARCO WAY
Second Line :
City : MARCO ISLAND
State : FL
Zip : 34145-1829
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 334 VIA VERA CRUZ STE 107
Second Line :
City : SAN MARCOS
State : CA
Zip : 92078-2637
Country : US
Telephone Number : 760-304-5010
Fax Number : 760-304-5010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

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Directions to “ XIANNAH BERUMEN ” Practice Location

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