Berry, Omar
Berry, Omar is an individual health care provider with primary practice located at 8915 S Harl Ave , Tempe AZ 85284-1030. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Berry, Omar can be contacted via phone (480) 672-0536.Contact Information
Primary practice address
8915 S Harl Ave
Tempe AZ 85284-1030
Phone: (480) 672-0536
Fax: (317) 520-8200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-24-331665 |
Profile Details
| NPI number | 1275375743 |
|---|---|
| LBN Legal business name | Berry, Omar |
| Credentials | RBT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2024 |
| Last updated | Jun 6th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275375743 | NPPES |
| Other | RBT-24-331665 | RBT CERTIFICATE |
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