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Emily Rose Berry

Assistant Behavior Analyst in Lakeland, FL. Individual provider (NPI-1).

NPI number1922595404
StatusActive
Last updated in NPPESMay 26, 2022

Details

NPI
1922595404
Entity type
Individual (NPI-1)
Name
Emily Rose Berry
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 19, 2018
Certification date
May 26, 2022
Last updated
May 26, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106E00000X Assistant Behavior Analyst––Yes
106S00000X Behavior Technician––

Practice location

600 Lake Hollingsworth Dr
Lakeland, FL 33803-2364

Phone 863-665-7300

Mailing address

151 Bentley Oaks Blvd
Auburndale, FL 33823-2028

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