Rylan Vince Berena

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

44 Center Grove Rd Apt Q-26
Randolph, NJ 07869-4492

Phone

(916) 343-0089

NPI assigned

Dec 4, 2023

Last updated

Dec 4, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1609643394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 CENTER GROVE RD APT Q-26",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694492",
            "telephone_number": "916-343-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 CENTER GROVE RD APT Q-26",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694492",
            "telephone_number": "916-343-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERENA",
        "first_name": "RYLAN VINCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Mario Beckford, O.D.
• Believe in Me Services, LLC
• Bruce Michael Benerofe, M.D.
• Lara Dionne Beneshan, L.AC.
• Nathalie Beredo, APN
• Patricia Bertron, RD
• BH Brightview Randolph Opco, LLC (Brightview Randolph)
• Debra Joyce Biarsky-Karros, OTR
• Melissa Rachel Bierman, MS/OTD, OTR/L
• Joseph Thomas Boorady, O.D.

• Assistant Behavior Analyst in Randolph, NJ
• Providers in Randolph, NJ by specialty
• Assistant Behavior Analyst in New Jersey

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