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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: August 16, 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
Phone(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
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanisha Bergeron's NPI number?

The NPI number for Tanisha Bergeron is 1285910638. It was assigned to this individual provider in the NPPES registry on October 31, 2011.

Where is Tanisha Bergeron located?

Tanisha Bergeron practices at 6 School Rd, Moodus, CT 06469. The listed phone number is (860) 638-8612.

What is Tanisha Bergeron's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Tanisha Bergeron was last updated on December 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.