Individual
INGO BERGSTEINSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
42 MOUNTAIN RD, FARMINGTON, CT 06032-2341
(860) 716-4192
Mailing address
42 MOUNTAIN RD, FARMINGTON, CT 06032-2341
(860) 716-4192
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-02-0975
FL
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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