NPI 1295395572
Matthew Berg, BCBA
Practice location
- Address
- 1530 S Shields Dr, Waukegan, IL 60085-8307
- Phone
- (847) 731-5736
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1295395572
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Jun 2019
- Record last updated
- 12 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.