Individual provider Active NPI

Cesiah Bernal

  • Behavior Analyst
  • Ashland, KY
National Provider Identifier
1033706130
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-65690 Issued in KY
Practice address
4032 Ferguson Dr
Ashland, KY 41101-6261
Phone
(606) 465-7588
NPI assigned
Dec 23, 2020
Last updated
Jun 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X
Behavior Analyst 103K00000X 1-23-65690 KY Primary

Addresses

Primary practice location

4032 Ferguson Dr
Ashland, KY 41101-6261

Mailing address

4032 Ferguson Dr
Ashland, KY 41101-6261
Phone (606) 465-7588

Other practice location 1

1401 Chestnut St
Kenova, WV 25530-1235
Phone (304) 453-2800

Other practice location 2

700 13th St
Ashland, KY 41101-2620
Phone (606) 465-7588

Other identifiers 1

IdentifierTypeStateIssuer
3810024363MedicaidWV

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neurobloom ABA LLC CurrentSince Jun 29, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cesiah.bernal.p1@direct.mtncomp.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1033706130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 FERGUSON DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411016261",
            "telephone_number": "606-465-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4032 FERGUSON DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411016261",
            "telephone_number": "606-465-7588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Kenova",
            "state": "WV",
            "postal_code": "255301235",
            "country_code": "US",
            "telephone_number": "304-453-2800",
            "fax_number": "304-453-2820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 13th St",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411012620",
            "country_code": "US",
            "telephone_number": "606-465-7588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNAL",
        "first_name": "CESIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "1-23-65690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810024363",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.