MRS. Lisa Addie Bergeron, BCABA

NPI #1194097923 in Warwick, Rhode Island

Provider Information

NPI Number: 1194097923
Entity Type: Individual
Name: MRS. Lisa Addie Bergeron, BCABA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCABA
Enumeration Date: Feb 9, 2012
Last Updated: Feb 9, 2012

Practice Location

Address: 3445 POST RD
City: Warwick
State: Rhode Island
ZIP Code: 02886-7147
Phone: (401) 739-2700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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