Individual
ADELE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6475 SIERRA LN, DUBLIN, CA 94568-2796
(303) 989-8169
Mailing address
6475 SIERRA LN, DUBLIN, CA 94568-2796
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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