Individual
ATHARA BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
534 TIMBERLANE W, LAKELAND, FL 33801-7808
(813) 735-8052
Mailing address
534 TIMBERLANE W, LAKELAND, FL 33801-7808
(813) 735-8052
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
11/10/2020
Last updated
02/09/2026
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