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NPI Code Detail

MEDICARE: AHNAYHA-LEE T-BERHE

MEDICARE: AHNAYHA-LEE T-BERHE
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
1373H00000XDay Training/Habilitation SpecialistCA

General Provider Information

NPI Number : 1922958578
Entity Type Code : Individual
Provider Name (Legal Business Name) : AHNAYHA-LEE T-BERHE
Provider Business Mailing Address
First Line : 1120 GORDON LN
Second Line :
City : SANTA ROSA
State : CA
Zip : 95404-5636
Country : US
Telephone Number : 707-527-3249
Fax Number :
Provider Business Practice Location Address
First Line : 1120 GORDON LN
Second Line :
City : SANTA ROSA
State : CA
Zip : 95404-5636
Country : US
Telephone Number : 707-527-3249
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ AHNAYHA-LEE T-BERHE ” Practice Location

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