Jose Berrios, BEHAVIOR TECHNICIAN

Individual provider Active NPI Behavior Technician · Cleveland, TN

NPI 1982302154 · NPPES record last updated Feb 17, 2023

Key facts

NPI
1982302154
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
440 Stuart Rd NE Ste 2
Cleveland, TN 37312-4959
Phone
(844) 854-1116
NPI assigned
Feb 17, 2023
Sex
Male
Sole proprietor
No

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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

440 Stuart Rd NE Ste 2
Cleveland, TN 37312-4959

Mailing address

1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108
Phone (844) 854-1116

Other providers in Cleveland, TN

All providers in Cleveland, TN · Behavior Technician in Tennessee

Sources for this page

Verify at the official NPI Registry.