Staci S. Berryman, BCBA
Individual provider Active NPI Behavior Analyst · Niceville, FL
NPI 1033344700 · NPPES record last updated May 24, 2009
Key facts
- NPI
- 1033344700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 200 Partin Dr N
Niceville, FL 32578-1244 - Phone
- (850) 420-3693
- NPI assigned
- May 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
200 Partin Dr N
Niceville, FL 32578-1244
Mailing address
200 Partin Dr N
Niceville, FL 32578-1244
Phone (850) 420-3693
Other providers in Niceville, FL
- Elizabeth Bennett
- Cayleigh Benny Harper
- Bonnie G Benshoof
- Amy Benzenhafer
- Adrianna Berrios
- Bio-Medical Applications of Florida, Inc.
- Jennie Bisson
- Allyson Blackburn
- George Ryan Blackman
- Caroline Blauvelt
All providers in Niceville, FL · Behavior Analyst in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.