Active NPI
Kelly Lynn Bernard, M.ED, BCBA, LABA
- Behavior Analyst
- New Port Richey, FL
National Provider Identifier
1346762523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2032-MH-B1
- Practice address
- 7326 Little Rd
New Port Richey, FL 34654-5518 - Phone
- (727) 364-2212
- NPI assigned
- Jul 10, 2017
- Last updated
- Aug 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2032-MH-B1 | MA | Primary |
Addresses
Primary practice location
7326 Little Rd
New Port Richey, FL 34654-5518
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Phone (407) 915-7729
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2032-MH-B1 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565654400000",
"number": "1346762523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 INTERNATIONAL PKWY STE 200",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327465028",
"telephone_number": "407-915-7729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7326 LITTLE RD",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346545518",
"telephone_number": "727-364-2212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNARD",
"first_name": "KELLY",
"middle_name": "LYNN",
"credential": "M.ED, BCBA, LABA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-10",
"last_updated": "2019-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "2032-MH-B1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.