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Individual

DOUGLAS B BERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4816 S 78TH EAST PL, APT 91-109, TULSA, OK 74145-6690
(870) 310-3850
(888) 875-1829
Mailing address
4816 S 78TH EAST PL, APT 91-109, TULSA, OK 74145-6690
(870) 310-3850
(888) 875-1829

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
251B00000X
Case Management Agency

Other

Enumeration date
03/06/2014
Last updated
03/06/2014
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