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NPI Code Detail

MEDICARE: BERNER ABRAHAN SANTOS MS (IP)

MEDICARE:   BERNER ABRAHAN SANTOS  MS (IP)
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 Analyst

General Provider Information

NPI Number : 1639729494
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERNER ABRAHAN SANTOS MS (IP)
Provider Business Mailing Address
First Line : 3752 ATLANTIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-6667
Country : US
Telephone Number : 562-606-0566
Fax Number :
Provider Business Practice Location Address
First Line : 3752 ATLANTIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-6667
Country : US
Telephone Number : 562-606-0566
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2019
Last Update Date : 09/13/2019

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