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NPI Code Detail

MEDICARE: NERGELINE LEGER

MEDICARE: NERGELINE LEGER
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 : 1598698516
Entity Type Code : Individual
Provider Name (Legal Business Name) : NERGELINE LEGER
Provider Business Mailing Address
First Line : 5850 ATLANTIC AVE STE 112
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33484-8427
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5850 ATLANTIC AVE STE 112
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33484-8427
Country : US
Telephone Number : 561-336-0358
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “ NERGELINE LEGER ” Practice Location

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