NPI 1699191304 · live from the CMS NPI Registry
Douglas B Berry
Behavior Analyst in Tulsa, OK. National Provider Identifier 1699191304, active.
NPI record
| NPI | 1699191304 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 4816 S 78th East Pl, Apt 91-109, Tulsa, OK 74145 |
| Practice phone | 870-310-3850 |
| Enumerated | March 6, 2014 |
| Last updated | March 6, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
| Case Management | 251B00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.