Individual provider Active NPI

Nicole I Bernard

  • Behavior Analyst
  • Delray Beach, FL
National Provider Identifier
1386169803
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
5180 W Atlantic Ave Ste 112
Delray Beach, FL 33484-8103
Phone
(561) 674-9996
NPI assigned
Aug 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

5180 W Atlantic Ave Ste 112
Delray Beach, FL 33484-8103

Mailing address

7118 Taylorwood Dr
Lake Worth, FL 33467-7772
Phone (516) 508-1729

Other practice location 1

300 Garden City Plz Ste 350
Garden City, NY 11530-3358
Phone (516) 747-9030

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

NPI Registry JSON

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1386169803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7118 TAYLORWOOD DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677772",
            "telephone_number": "516-508-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 W ATLANTIC AVE STE 112",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848103",
            "telephone_number": "561-674-9996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Garden City Plz Ste 350",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115303358",
            "country_code": "US",
            "telephone_number": "516-747-9030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "NICOLE",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.