(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003423187
Provider Name: KACEY ALLISON BERBERICH
Entity Type: Individual
Taxonomy Code: 106S00000X
Specialty: Behavior Technician
License Number:
Most Important Dates
Enumeration Date: 09/23/2020
Last Updated: 02/22/2022
Provider Practice Location
12901 SE 97TH AVE STE 340
CLACKAMAS
OR
970157903
Practice Location Phone/Fax
Phone: 5036558045
Fax: 5036556806
Provider Mailing Location
528 W J ST
BENICIA
CA
945103045
Provider Mailing Phone/Fax
Phone: 9252865458
Fax: