Individual
ALIJAH BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4624 PEMBROKE BLVD STE 102, VIRGINIA BEACH, VA 23455-6450
(757) 450-8507
(757) 585-3544
Mailing address
844 FALLS CREEK DR, CHESAPEAKE, VA 23322-7297
(516) 778-0195
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1354625
VA
Other
Enumeration date
07/25/2025
Last updated
11/14/2025
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