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Mark Willer, BCBA
NPI 1609123835 · on the registry since 2012 · sole proprietor
Practice
- Address
- 4102 Middle Ridge Dr
Fairfax, VA 22033 - Phone
- (703) 507-9992
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-08-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia