Individual
DAVON BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 LOWELL AVE, NEW HYDE PARK, NY 11040-2812
(718) 812-3911
Mailing address
114 LOWELL AVE, NEW HYDE PARK, NY 11040-2812
(718) 812-3911
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/27/2021
Last updated
02/27/2021
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