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Active NPI 1285910638 Individual Practitioner Female Practitioner

Tanisha Bergeron , MACCC-SLP

Behavior Analyst • Moodus, CT

Professional Overview & Biography Verified Profile Summary

Tanisha Bergeron, MACCC-SLP is a registered healthcare professional specializing in Behavior Analyst in Moodus, CT. Practice services are available at 6 SCHOOL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6 School Rd

Moodus, CT 064691168

Telephone 8606388612

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Moodus, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Moodus, CT (1366 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License CT 005002

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 01, 2016

NPI status registered as active in NPPES database

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Updated Practice Location December 01, 2016

Registered at 6 SCHOOL RD, MOODUS, CT 064691168 (Tel: 8606388612)

📍
Updated Business Mailing Address December 01, 2016

Registered at 6 SCHOOL RD, MOODUS, CT 064691168 (Tel: 8606388612)

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Provider Name / Credentials Updated December 01, 2016

Recorded as TANISHA BERGERON, MA.CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2016

Speech-Language Pathologist (License #005002 in CT)

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Initial NPI Registration & Enumeration October 31, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1285910638
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2011
Last Update: December 01, 2016
Sole Proprietor: Yes

Mailing Address

6 School Rd

Moodus, CT 064691168

Phone: 8606388612

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.