Willer, Mark
Willer, Mark is an sole proprietor health care provider with primary practice located at 4102 Middle Ridge Dr , Fairfax VA 22033-3226. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Willer, Mark can be contacted via phone (703) 507-9992.Contact Information
Primary practice address
4102 Middle Ridge Dr
Fairfax VA 22033-3226
Phone: (703) 507-9992
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-12-11579 | Virginia |
Profile Details
| NPI number | 1609123835 |
|---|---|
| LBN Legal business name | Willer, Mark |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2012 |
| Last updated | Aug 7th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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