Theresa Bergen

NPI #1669340949 in Hauppauge, New York

Provider Information

NPI Number: 1669340949
Entity Type: Individual
Name: Theresa Bergen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 28, 2025
Last Updated: Oct 28, 2025

Practice Location

Address: 495 HOFFMAN LN
City: Hauppauge
State: New York
ZIP Code: 11788-3102
Phone: (631) 863-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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