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TAYA BERRY MBA
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1740820083
Individual Registrant: TAYA BERRY MBA
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
11776 MARIPOSA RD HESPERIA, CA 92345-1622 US
Tel: 760-956-2462 Fax: --
Tel: 760-956-2462 Fax: --
Contact information for business:
11776 MARIPOSA RD # 103 HESPERIA, CA 92345-1622 US
Tel: 760-956-2462 Fax: --
Tel: 760-956-2462 Fax: --
Registration Information:
NPI: 1740820083
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
