Individual
JERRICA BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6601 TENNYSON ST NE APT 9302, ALBUQUERQUE, NM 87111-8167
(505) 435-0737
Mailing address
6601 TENNYSON ST NE APT 9302, ALBUQUERQUE, NM 87111-8167
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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