Katie Breann Bergin, BCBA – Behavior Analyst

Key facts

NPI: 1386443695
Entity type: Individual (NPI type 1)
Primary specialty: Behavior Analyst 103K00000X
License: 1-25-79628 (MS)
Practice address: 992 Northpark Dr
Ridgeland, MS 39157-5193
Phone: (318) 498-2760
NPI assigned: Mar 10, 2025
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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.

Junior Boom ABA LLC Behavior Analyst · Brooklyn, NY · NPI 1861194490

NPD (past) BEHAVIOR ANALYST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
LABA10001900	MA	MD	Behavioral Analyst
BH007959	PA	MD	Behavioral Analyst

Practice roles

Organization	Specialty	Status	New patients
Junior Boom ABA LLC	Behavior Analyst	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Behavior Analyst	103K00000X	1-25-79628	MS	Yes
Behavior Analyst	103K00000X	BH007959	PA
Behavior Analyst	103K00000X	LABA10001900	MA

Addresses

Primary practice location

992 Northpark Dr
Ridgeland, MS 39157-5193

Mailing address

4 County Road 2315
Laurel, MS 39443-8113
Phone (318) 498-2760

Other names

Katie Breann Hutson Former name

Other providers in Ridgeland, MS

All providers in Ridgeland, MS · Behavior Analyst in Mississippi

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2026. 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.

Verify at the official NPI Registry.