Active NPIIndividual providerSole proprietor

Corey Berg

Behavior Technician in Orlando, Florida

NPI Number1639742901
Practice location
6024 Peregrine Ave, Orlando, FL 32819-7520
Fax
—
Last updated
July 23, 2021

Corey Berg is a Behavior Technician based in Orlando, FL. Corey Berg practices in Orlando, FL. The NPI Number for Corey Berg is 1639742901. The current practice location address for Corey Berg is 6024 Peregrine Ave, Orlando, FL 32819-7520 and can be reached out via phone at 954-559-3325.

Provider Profile Details

NPI Number
1639742901
Provider Name
Corey Berg
Provider Entity Type
Individual
Gender
Male
Address
6024 Peregrine Ave, Orlando, FL 32819-7520
Phone Number
954-559-3325
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 23, 2021
Last Update Date
July 23, 2021
Certification Date
July 22, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
6024 Peregrine Ave
Orlando, FL 32819-7520
State
Florida
Zip
32819-7520
Phone Number
954-559-3325
Orlando, FL 32819Get directions →

Provider Business Mailing Address Details

Address
354 Merrimack St Ste 395
Lawrence, MA 01843-1754
City
Lawrence
State
MA
Zip
01843-1754
Phone Number
774-206-1125
Fax Number
774-628-9657

License Information

Taxonomy (1)
Case Manager/Care Coordinator · 171M00000X
Taxonomy (2)
Community/Behavioral Health · 251S00000X
Taxonomy (3)
Behavior Technician · 106S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Corey Berg?

The NPI number of Corey Berg is 1639742901. It was assigned on July 23, 2021 and is currently active in the NPPES registry.

What is the specialty of Corey Berg?

Corey Berg is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Corey Berg practice?

The practice location is 6024 Peregrine Ave, Orlando, FL 32819-7520. The office can be reached at 954-559-3325 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639742901 directly on the NPPES registry website.

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