Myla Danielle Berry
Behavior Technician in Ardmore, OK. Individual provider (NPI-1).
NPI number1366082018
StatusActive
Last updated in NPPESJan 10, 2020
Details
- NPI
- 1366082018
- Entity type
- Individual (NPI-1)
- Name
- Myla Danielle Berry
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2020
- Certification date
- Jan 10, 2020
- Last updated
- Jan 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
34 N Washington StArdmore, OK 73401-7013
Phone 580-670-3117
Mailing address
41247 Highway 29Wynnewood, OK 73098-9116
Phone 580-670-3117
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All 376 Behavior Technician providers in Ardmore · All 1,684 providers in Ardmore
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