Lucas Charles Bergstrom

NPI #1205729688 in Eagan, Minnesota

Provider Information

NPI Number: 1205729688
Entity Type: Individual
Name: Lucas Charles Bergstrom
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 2, 2025
Last Updated: Jun 2, 2025

Practice Location

Address: 4585 SLATER RD APT 301
City: Eagan
State: Minnesota
ZIP Code: 55122-3343
Phone: (651) 395-0926

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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