Individual
DIANE BERNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3948 NEW VISION DR STE D, FORT WAYNE, IN 46845-1721
(260) 245-1455
(317) 815-3861
Mailing address
6060 N COLLEGE AVE, INDIANAPOLIS, IN 46220-1907
(317) 584-5166
(317) 815-3861
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/14/2018
Last updated
03/17/2018
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