Individual
KAREN BERGERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 CARRIEBROOKE DR, STEPHENS CITY, VA 22655-6000
(540) 486-4653
Mailing address
132 W COURT ST APT 1, WOODSTOCK, VA 22664-1409
(571) 481-6013
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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