Carrie Bergen

NPI #1376216440 in Issaquah, Washington

Provider Information

NPI Number: 1376216440
Entity Type: Individual
Name: Carrie Bergen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 26, 2021
Last Updated: Jul 26, 2021

Practice Location

Address: 1445 NW MALL ST STE 2
City: Issaquah
State: Washington
ZIP Code: 98027-7900
Phone: (510) 325-7883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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