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Contact Information

EMILY R BERRY
600 LAKE HOLLINGSWORTH DR
LAKELAND, FL33803-2364
 Phone: 863-665-7300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assistant Behavior Analyst

106E00000X
 

Behavior Technician

106S00000X
Indicates primary specialty

NPI Profile & details for EMILY R BERRY · (Female)

NPI Number 1922595404
Status Active
Credentials
Entity Individual
Enumeration date 04/19/2018
Last updated 05/26/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • FL Medicaid 019102000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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