Geannie Berg

Individual provider Active NPI Behavior Technician · Rock Springs, WY

NPI 1780243477 · NPPES record last updated Jun 6, 2019

Key facts

NPI
1780243477
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2632 Foothill Blvd Ste 205
Rock Springs, WY 82901-4758
Phone
(307) 389-1786
NPI assigned
Jun 6, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
106S00000X Yes

Addresses

Primary practice location

2632 Foothill Blvd Ste 205
Rock Springs, WY 82901-4758

Mailing address

2632 Foothill Blvd Ste 205
Rock Springs, WY 82901-4758
Phone (307) 389-1786

Other providers in Rock Springs, WY

All providers in Rock Springs, WY · Behavior Technician in Wyoming

Sources for this page

Verify at the official NPI Registry.