Shareiff Hasan Berry Blakney

NPI #1114755311 in Cerritos, California

Provider Information

NPI Number: 1114755311
Entity Type: Individual
Name: Shareiff Hasan Berry Blakney
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 22, 2024
Last Updated: Jul 22, 2024

Practice Location

Address: 12604 HIDDENCREEK WAY STE C
City: Cerritos
State: California
ZIP Code: 90703-2137
Phone: (855) 223-1723

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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