Individual
MICHAELA BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3161 LA HIGHWAY 78, LIVONIA, LA 70755
(225) 713-1442
Mailing address
2468 OAK ALLEY DR, PORT ALLEN, LA 70767-6069
(318) 359-7720
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-656
LA
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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