Individual
JENNA ROSE BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1701 NE COLUMBIA ROAD, SEATTLE, WA 98195-0001
(206) 375-8587
Mailing address
1701 NE COLUMBIA ROAD, SEATTLE, WA 98195-0001
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-46929
WA
106S00000X
Behavior Technician
CB60807340
WA
Other
Enumeration date
03/22/2018
Last updated
02/24/2021
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