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Shayna Bergeron

Behavior Technician in Marlborough, MA. Individual provider (NPI-1).

NPI number1316638067
StatusActive
Last updated in NPPESMay 15, 2023

Details

NPI
1316638067
Entity type
Individual (NPI-1)
Name
Shayna Bergeron
Sex
Female
Sole proprietor
No
Enumeration date
May 15, 2023
Certification date
May 15, 2023
Last updated
May 15, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–MAYes

Practice location

225 Cedar Hill St Ste 200
Marlborough, MA 01752-5900

Phone 508-562-1028

Mailing address

50 Grant St
West Bridgewater, MA 02379-1218

Phone 508-562-1028

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