Lauren M Bergamo
Individual provider Active NPI Behavior Technician · Albuquerque, NM
NPI 1104795608 · NPPES record last updated Nov 3, 2025
Key facts
- NPI
- 1104795608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 4600 Columbine Ave NE
Albuquerque, NM 87113-2236 - Phone
- (505) 916-7618
- NPI assigned
- Nov 3, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NM | Yes |
Addresses
Primary practice location
4600 Columbine Ave NE
Albuquerque, NM 87113-2236
Mailing address
4600 Columbine Ave NE
Albuquerque, NM 87113-2236
Phone (505) 916-7618
Other providers in Albuquerque, NM
- Lindsey Berg
- Regan Berg
- Stetson Lea Berg
- Toni Berg
- Valerie Louise Berg
- Thomas Olaf Berge
- Audrey R Bergen
- Sean Bergen
- Howard Stephen Berger
- Joel Charles Berger
All providers in Albuquerque, NM · Behavior Technician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.