Healthcare Provider Details

I. General information

NPI: 1023992690
Provider Name (Legal Business Name): ABRIANA BERREBI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABRIANA MCEACHERN

II. Dates (important events)

Enumeration Date: 08/05/2025
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 HENDERSON DR
JACKSONVILLE NC
28546-5246
US

IV. Provider business mailing address

7500 SAN FELIPE ST STE 990
HOUSTON TX
77063-1708
US

V. Phone/Fax

Practice location:
  • Phone: 910-353-2161
  • Fax:
Mailing address:
  • Phone: 866-610-0580
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: