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General NPI Number Information
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NPI Number | 1366376949
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Entity Type | Individual
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Provider Name | ZARRIAH RA'LEIGH JA-QWANN BERRY
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Gender | Female
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 2800 OLD DAWSON RD STE 2-168
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City | ALBANY
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State | GA
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Zip | 31707-1599
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Country | US
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Telephone | 855-832-6727
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Fax |
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Provider Business Mailing Address
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Address Line | 454 OLD ALBANY RD
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City | MOULTRIE
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State | GA
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Zip | 31768-8330
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Country | US
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Telephone | 229-890-5202
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | BACB1587428
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License Number State | GA
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