Individual
LEANNE BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBAI
Contact information
Practice address
6950 SW HAMPTON ST STE 310, TIGARD, OR 97223-8332
(971) 200-5030
Mailing address
6950 SW HAMPTON ST STE 310, TIGARD, OR 97223-8332
(971) 200-5030
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
ABA-IN-10184574
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
07/01/2025
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