Individual
KELLY L BERGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1400 MCCALLIE AVE, SUITE 100, CHATTANOOGA, TN 37404-2927
(423) 531-6961
(423) 521-8094
Mailing address
1400 MCCALLIE AVE, SUITE 100, CHATTANOOGA, TN 37404-2927
(423) 531-6961
(423) 521-8094
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/10/2013
Last updated
08/25/2022
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