TANISHA BERGERON MA.CCC-SLP
NPI 1285910638
Behavior Analyst in Moodus, CT

Active since October 31, 2011

NPPES record last updated: December 1, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tanisha Bergeron Ma.ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANISHA BERGERON MA.CCC-SLP (NPI 1285910638) is an individual behavior analyst provider in Moodus, Connecticut and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1285910638
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameTANISHA BERGERONCredential: MA.CCC-SLP
Location Address6 SCHOOL RDMoodus, CT 06469-1168
Mailing Address6 School RdMoodus, CT 06469-1168 · (860) 638-8612
Sole ProprietorYes
Enumeration DateOctober 31, 2011
Last NPPES UpdateDecember 1, 2016
NPI 1285910638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition

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.

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X · License 005002 (CT)
6 SCHOOL RD, Moodus, CT 06469

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285910638, enumerated as an "individual" on October 31, 2011.

The provider is located at 6 SCHOOL RD MOODUS, CT 06469 and the phone number is (860) 638-8612.

Behavior Analyst with taxonomy code 103K00000X.