TANISHA BERGERON MA.CCC-SLP NPI 1285910638

NPI Information

  • NPI: 1285910638
  • Provider Name: TANISHA BERGERON, MA.CCC-SLP
  • Classification: Behavior Analyst - 103K00000X
  • Entity Type: Individual
  • Address: 6 SCHOOL RD
    MOODUS, CT
    ZIP 06469
  • Phone: (860) 638-8612

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NPI Details

Tanisha Bergeron, MA.CCC-SLP is a behavior analyst in Moodus, CT. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. Tanisha Bergeron, MA.CCC-SLP NPI is 1285910638. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6 SCHOOL RD
MOODUS, CT
ZIP 06469-168
Phone: (860) 638-8612

The enumeration date for this NPI number is 10/31/2011 and was last updated on 12/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language Pathologist005002CONNECTICUTNo
2103K00000XBehavior AnalystYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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