Berry, Jack

Berry, Jack is an individual health care provider with primary practice located at 11535 Avenue 264 , Visalia CA 93277-9315. He recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as his primary health care specialty. Berry, Jack can be contacted via phone (559) 747-3984.

Contact Information

Primary practice address
11535 Avenue 264 Visalia CA 93277-9315
Phone: (559) 747-3984
Fax: (559) 747-3642
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1932672755
LBN Legal business name Berry, Jack
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2019
Last updated Jan 3rd, 2019 - about 5 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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