Selina Renee Bernal
Individual provider Active NPI Behavior Analyst · Rumford, RI
NPI 1164923686 · NPPES record last updated Apr 25, 2024
Key facts
- NPI
- 1164923686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-20-41550
- Practice address
- 225 Newman Ave
Rumford, RI 02916-1218 - Phone
- (401) 270-7110
- NPI assigned
- Feb 21, 2018
- Sex
- Female
- 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 Analyst | 103K00000X | 1-20-41550 | Yes |
Addresses
Primary practice location
225 Newman Ave
Rumford, RI 02916-1218
Mailing address
4 Rancho Vista PL
Pomona, CA 91766-4789
Phone (909) 706-0097
Other providers in Rumford, RI
- Alison Anderson
- Cheryl Ann Andrade
- Donavin Andrews
- Teresa P. Bairos
- Stephanie Michelle Singer Barboza
- Alondra Berrios
- Cindy Bessette
- Rachel Bliss
- Boti Diet LLC
- Anne Boutin-Gammon
All providers in Rumford, RI · Behavior Analyst in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2024. 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.