Individual
KASIE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1505 BLANDING ST, COLUMBIA, SC 29201-2906
(803) 929-0011
Mailing address
6000 TURKEY LAKE RD STE 114, ORLANDO, FL 32819-4205
(321) 732-3723
(321) 352-7168
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
01/15/2024
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