Berry, Graysen
Berry, Graysen is an individual health care provider with primary practice located at 301 N Sidney Ave , Russellville AR 72801-4383. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Berry, Graysen can be contacted via phone (479) 890-5494.Contact Information
Primary practice address
301 N Sidney Ave
Russellville AR 72801-4383
Phone: (479) 890-5494
Fax: (479) 498-9665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Arkansas |
Profile Details
| NPI number | 1093595365 |
|---|---|
| LBN Legal business name | Berry, Graysen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2023 |
| Last updated | Oct 3rd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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