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NPI Code Detail

MEDICARE: BROOKE UNGARETTI

MEDICARE: BROOKE UNGARETTI
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 : 1902537657
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE UNGARETTI
Provider Business Mailing Address
First Line : PO BOX 740780
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0780
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Provider Business Practice Location Address
First Line : 1191 CENTRAL BLVD STE A
Second Line :
City : BRENTWOOD
State : CA
Zip : 94513-2253
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2022
Last Update Date : 05/19/2026

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Directions to “ BROOKE UNGARETTI ” Practice Location

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