Stephanie Bernardin

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

30343 Canwood St Ste 100
Agoura Hills, CA 91301-4328

Phone

(805) 230-3701

Fax

(805) 823-4462

NPI assigned

Feb 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1356973911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30343 CANWOOD ST STE 100",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014328",
            "telephone_number": "805-230-3701",
            "fax_number": "805-823-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30343 CANWOOD ST STE 100",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014328",
            "telephone_number": "805-230-3701",
            "fax_number": "805-823-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDIN",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bente Berman MD Inc
• Philip L Berger, BPHARM
• Sophia Renee Berger, MA
• Suzanne Paulette Berger, D.D.S.
• Bente H Berman, M.D.
• Cole Berweiler, PTA
• Stephanie Robin Bien, LMFT, LPCC
• Grace C Bindley, LMFT
• Jill Michele Black, LMFT
• Walter Dean Blackfox Jr.

• Behavior Technician in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.