Healthcare Provider Details

I. General information

NPI: 1497670400
Provider Name (Legal Business Name): TANIAH BERRY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7333 WHITEPINE RD
RICHMOND VA
23237-2260
US

IV. Provider business mailing address

8413 NEWBYS MILL DR
CHESTERFIELD VA
23832-7876
US

V. Phone/Fax

Practice location:
  • Phone: 804-266-9012
  • Fax:
Mailing address:
  • Phone: 804-944-0008
  • 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: