Individual
GERALDINE BERAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS BCBA LABA
Contact information
Practice address
301 EDGEWATER PL STE 100, WAKEFIELD, MA 01880-1281
(617) 855-1954
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(617) 855-1954
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12044174
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000023532
BMC
MA
01
—
042611055
TAX ID
MA
01
—
1004745
FALLON
MA
05
—
110026265E
—
MA
01
—
1303287
MBHP
MA
01
—
99618201
NETWORK HEALTH
MA
01
—
M18633
BCBS
MA
Enumeration date
06/14/2017
Last updated
03/04/2026
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