Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theresa Bergen

Individual provider Behavior Technician · NPI 1669340949

Theresa Bergen is a Behavior Technician in Hauppauge, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025
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Practice location Address checks out

495 Hoffman Ln
Hauppauge, NY 11788-3102
Phone: (631) 863-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 1136564 (NY)

Record details

NPI number1669340949
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 28, 2025
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025

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