Tanisha Bergeron, MA.CCC-SLP
NPI 1285910638ActiveIndividual· Behavior Analyst· Moodus, CT
Behavior Analyst (MA.CCC-SLP) in Moodus, Connecticut, licensed in CT, with an NPI issued in October 2011.
Overview
| NPI | 1285910638 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA.CCC-SLP |
| Sole proprietor | Yes |
| NPI issued | Oct 31, 2011 |
| Last updated in NPPES | Dec 1, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | 005002 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|