Individual
HALEY BERGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
188 W ILLINOIS HWY, NEW LENOX, IL 60451-5501
(857) 829-3203
Mailing address
12054 BLACKTHORNE RIDGE DR, MOKENA, IL 60448-8118
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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