Individual
JARED BERQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5951 DUGOUT TER, MECHANICSVILLE, VA 23111-4570
(727) 201-2389
Mailing address
360 CENTRAL AVE STE 800, ST PETERSBURG, FL 33701-3984
(201) 238-9727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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