Shira Berdugo
Behavior Technician in San Diego, CA. Individual provider (NPI-1).
NPI number1164076519
StatusActive
Last updated in NPPESJul 24, 2019
Details
- NPI
- 1164076519
- Entity type
- Individual (NPI-1)
- Name
- Shira Berdugo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2019
- Last updated
- Jul 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3978 Sorrento Valley Blvd Ste 100San Diego, CA 92121-1436
Phone 858-428-0222
Mailing address
4251 Shorepointe WaySan Diego, CA 92130-8634
Phone 858-699-0428
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