Individual
MADELEINE BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1209 E WALNUT ST, COLUMBIA, MO 65201-4944
(855) 832-6727
Mailing address
1209 E WALNUT ST, COLUMBIA, MO 65201-4944
(855) 832-6727
(813) 337-0937
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-24-15289
MO
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/24/2019
Last updated
09/05/2024
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