Individual
BENJAMIN F BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
12656 LAKE RIDGE DR STE C, WOODBRIDGE, VA 22192-7504
(703) 910-4362
(703) 910-4367
Mailing address
9450 LOCUST TER, APT 1132, MANASSAS PARK, VA 20111-6817
(571) 233-0198
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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