Individual
MRS. GAIL GOLD BERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
164 MAIN ST, CORNWALL, NY 12518-1563
(845) 800-7188
Mailing address
164 MAIN ST, CORNWALL, NY 12518-1563
(845) 800-7188
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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