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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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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