Individual
JOSHUA L BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSED
Contact information
Practice address
2008 GENERAL BOOTH BLVD STE B, VIRGINIA BEACH, VA 23454-5910
(757) 301-2411
Mailing address
2008 GENERAL BOOTH BLVD STE B, VIRGINIA BEACH, VA 23454-5910
(757) 301-2411
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
02/16/2020
Last updated
03/04/2020
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