NPI 1225818610 · live from the CMS NPI Registry
Dylan Bergeron
Behavior Analyst in Knoxville, TN. National Provider Identifier 1225818610, active.
NPI record
| NPI | 1225818610 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 8081 Kingston Pike, Knoxville, TN 37919 |
| Practice phone | 678-894-1116 |
| Enumerated | October 3, 2023 |
| Last updated | October 3, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1356 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.