Sparkle Berry

NPI #1780419267 in Ellenwood, Georgia

Provider Information

NPI Number: 1780419267
Entity Type: Individual
Name: Sparkle Berry
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 4, 2024
Last Updated: Sep 4, 2024

Practice Location

Address: 4046 ROCKMILL CV
City: Ellenwood
State: Georgia
ZIP Code: 30294-6321
Phone: (407) 747-8334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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