Individual
TYLER FLEMING BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA/LBA
Contact information
Practice address
2 N CENTRAL AVE, STAUNTON, VA 24401-4268
(540) 949-7045
Mailing address
2 N CENTRAL AVE, STAUNTON, VA 24401-4268
(540) 949-7045
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133003085
VA
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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