Individual
PATRICK BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1616 NUUANU AVE, APT J, HONOLULU, HI 96817-3282
(330) 631-2931
Mailing address
1616 NUUANU AVE, APT J, HONOLULU, HI 96817-3282
(330) 631-2931
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9788283
KAISER PERMANENTE
HI
Enumeration date
06/10/2015
Last updated
06/10/2015
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