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General NPI Number Information
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NPI Number | 1992663413
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Entity Type | Individual
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Provider Name | KEVIN BERRIOS
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Gender | Male
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 373 WARD ST
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City | WALLINGFORD
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State | CT
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Zip | 06492-4614
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Country | US
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Telephone | 475-303-2473
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Fax |
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Provider Business Mailing Address
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Address Line | 3415 BATAAN MEMORIAL W
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City | LAS CRUCES
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State | NM
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Zip | 88012-5012
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Country | US
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Telephone | 505-392-3482
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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 |
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License Number State |
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