NPI 1619657806 · live from the CMS NPI Registry
Mave Opal Bergeron, Med, BCBA
Behavior Analyst in Lafayette, LA. National Provider Identifier 1619657806, active.
NPI record
| NPI | 1619657806 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 139 James Comeaux Rd Ste B, Lafayette, LA 70508 |
| Practice phone | 855-832-6727 |
| Mailing address | 328 S 2nd St, Iota, LA 70543 |
| Enumerated | July 21, 2023 |
| Last updated | April 1, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | L747 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.