Individual
MRS. JESSICA L BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
876 HORACE BROWN DR, MADISON HEIGHTS, MI 48071-1862
(248) 965-3916
Mailing address
535 S EDISON AVE, ROYAL OAK, MI 48067-3976
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/19/2020
Last updated
05/05/2026
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