Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANISHA BERGERON, MA.CCC-SLP
Active Sole ProprietorTANISHA BERGERON, MA.CCC-SLP is a Behavior Analyst healthcare provider located in MOODUS, Connecticut. NPI 1285910638 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · MOODUS, CT
Registration Details
- NPI Number
- 1285910638
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 31, 2011 (14.750577898226 yrs)
- Last Updated
- Dec 1, 2016
- License
-
005002 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6 SCHOOL RDMOODUS, CT, 064691168Browse CT providers · Browse ZIP 06469
- Phone
- 8606388612
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Speech, Language and Hearing Specialist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.