Emma Berkowitz

Individual provider Active NPI Behavior Technician · South Burlington, VT

NPI 1154074656 · NPPES record last updated Feb 3, 2022

Key facts

NPI
1154074656
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
110 Kimball Ave Ste 125
South Burlington, VT 05403-6851
Phone
(802) 489-5395
NPI assigned
Feb 3, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Bridges LLC Past
since Feb 6, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

110 Kimball Ave Ste 125
South Burlington, VT 05403-6851

Mailing address

360 Route 101 Ste 11
Bedford, NH 03110-5031
Phone (603) 471-2522

Other providers in South Burlington, VT

All providers in South Burlington, VT · Behavior Technician in Vermont

Sources for this page

Verify at the official NPI Registry.