Individual
MR. COREY ALAN BERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCABA
Contact information
Practice address
2314 MIAMI ST, SOUTH BEND, IN 46614-1336
(574) 329-6856
(574) 367-2922
Mailing address
2314 MIAMI ST, SOUTH BEND, IN 46614-1336
(574) 329-6856
(574) 367-2922
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-20-11409
IN
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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