NPI 1306124748

Rachel L Berry

Practitioner Health Maintenance Organization Oklahoma City, OK

Practice location

Address: 1000 W Wilshire Blvd STE 220, Oklahoma City, OK 73116-7036
Phone: (405) 879-3443
Mailing address: 5613 N Terry Ave, Oklahoma City, OK 73111-6866

Registered specialties (2)

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Registry record

NPI: 1306124748
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Aug 2011
Record last updated: 3 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.