Individual
CLAUDET BERRONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
3651 WHEATON WAY, BREMERTON, WA 98310-3532
(907) 521-0890
Mailing address
300 W SWANSON AVE, WASILLA, AK 99654-6844
(907) 521-0890
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-124318
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-20-124318
BEHAVIOR TECHNICIAN
—
Enumeration date
06/23/2020
Last updated
06/23/2020
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