Individual
IAN DOUGLAS BERNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1649 61ST ST FL 3013, BROOKLYN, NY 11204-2746
(718) 633-4411
Mailing address
1608 BIRDIE WAY UNIT K8, LAWRENCE, KS 66047-3560
(636) 699-3252
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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