Active NPIIndividual provider

Mrs. Lisa A Bergeron, BCABA

Behavior Analyst in Warwick, Rhode Island

NPI Number1194097923
Practice location
3445 Post RD, Warwick, RI 02886-7147
Fax
401-921-5493
Last updated
February 9, 2012

Lisa Addie Bergeron is a Behavior Analyst based in Warwick, RI. Lisa Addie Bergeron practices in Warwick, RI and has the professional credentials of BCABA. The NPI Number for Lisa Addie Bergeron is 1194097923 and holds a License No. 0-11-4097 (RI). The current practice location address for Lisa Addie Bergeron is 3445 Post RD, Warwick, RI 02886-7147 and can be reached out via phone at 401-739-2700 and via fax at 401-921-5493.

Provider Profile Details

NPI Number
1194097923
Provider Name
Lisa Addie Bergeron
Credential
BCABA
Provider Entity Type
Individual
Gender
Female
Address
3445 Post RD, Warwick, RI 02886-7147
Phone Number
401-739-2700
Fax Number
401-921-5493
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Other Names
Ms. Lisa Addie Phelps (Former Name)
Provider Enumeration Date
February 9, 2012
Last Update Date
February 9, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
3445 Post RD
Warwick, RI 02886-7147
Zip
02886-7147
Phone Number
401-739-2700
Fax Number
401-921-5493
Warwick, RI 02886Get directions →

Provider Business Mailing Address Details

Address
163 Ledgewood RD
Unit 203
Groton, CT 06340-6611
City
Groton
State
CT
Zip
06340-6611
Phone Number
401-451-4863
Fax Number
401-921-5493

License Information

License Number
0-11-4097
License State
RI
Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Lisa A Bergeron, BCABA?

The NPI number of Mrs. Lisa A Bergeron, BCABA is 1194097923. It was assigned on February 9, 2012 and is currently active in the NPPES registry.

What is the specialty of Mrs. Lisa A Bergeron, BCABA?

Mrs. Lisa A Bergeron, BCABA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in RI under license number 0-11-4097.

Where does Mrs. Lisa A Bergeron, BCABA practice?

The practice location is 3445 Post RD, Warwick, RI 02886-7147. The office can be reached at 401-739-2700 (phone) or 401-921-5493 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194097923 directly on the NPPES registry website.

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