Siera Amber Bergeron

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1349 Issued in NC

Practice address

1701 Center St
Apex, NC 27502-7026

Phone

(842) 469-0809

Fax

(984) 464-2242

NPI assigned

Jun 26, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Complete Rehabilitation and Sports Physical Therapy, PC

  • Physical Therapist
  • Ronkonkoma, NY
  • NPI 1811097306
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1134799745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280120749",
            "telephone_number": "704-869-2088",
            "fax_number": "980-288-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CENTER ST",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275027026",
            "telephone_number": "842-469-0809",
            "fax_number": "984-464-2242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "852 Perry Rd",
            "address_purpose": "LOCATION",
            "city": "Apex",
            "state": "NC",
            "postal_code": "275027701",
            "country_code": "US",
            "telephone_number": "919-446-5670",
            "fax_number": "919-267-4761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "SIERA",
        "middle_name": "AMBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-26",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macie Elizabeth Bell, COTA/L
• Nadana Benain, M.S., CCC-SLP, TSSLD
• Heather Benham
• Allison Marie Bennett, MS OTR-L
• Nicole Denise Benson
• Ilana Starr Berman, PHD
• Jodi Bernard, LCMHCA
• Ruth Michelle Bernstein, PHD
• Better Dental Management, LLC
• Better Now Medicine PLLC

• Behavior Analyst in Apex, NC
• Providers in Apex, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.