Wellformed AI

NPI 1093250276 · live from the CMS NPI Registry

Emily Gilcrease Bergeron, BCBA

Behavior Analyst in Houma, LA. National Provider Identifier 1093250276, active.

NPI record

NPI1093250276 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location917 Dunn St, Houma, LA 70360
Practice phone985-746-5008
EnumeratedDecember 27, 2016
Last updatedDecember 27, 2016
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-16-24448 (LA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.