Provider Demographics
NPI:1801679451
Name:BERKMAN, SYDNEY JOSHUA (PHD, BCBA-D, LABA)
Entity type:Individual
Prefix:DR
First Name:SYDNEY
Middle Name:JOSHUA
Last Name:BERKMAN
Suffix:
Gender:M
Credentials:PHD, BCBA-D, LABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1022 CURDWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37216-2404
Mailing Address - Country:US
Mailing Address - Phone:309-648-2104
Mailing Address - Fax:
Practice Address - Street 1:1022 CURDWOOD BLVD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37216-2404
Practice Address - Country:US
Practice Address - Phone:309-648-2104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1708103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst