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Individual

CAROLINE BERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
100 CONGRESS AVE STE 2000, AUSTIN, TX 78701-2745
(877) 418-2978
(866) 500-2186
Mailing address
7142 ELK TRL, SAN ANTONIO, TX 78244-1539
(210) 887-6735

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3794
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3794
BEHAVIOE ANALYST LICENSE
TX
Enumeration date
07/03/2017
Last updated
12/18/2022
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