Individual
LAUREN M BERGAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
4600 COLUMBINE AVE NE, ALBUQUERQUE, NM 87113-2236
(505) 916-7618
Mailing address
4600 COLUMBINE AVE NE, ALBUQUERQUE, NM 87113-2236
(505) 916-7618
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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