Individual
KRISTIAN LONEEN BERGSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA, LBA
Contact information
Practice address
517 E DIVISION ST, ROCKFORD, MI 49341-1376
(616) 512-2831
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 244-1818
(888) 512-0733
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
7401002378
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/01/2022
Last updated
04/12/2024
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