Julietta Sophie Berner

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4647 Clyde Morris Blvd Unit 501
Port Orange, FL 32129-3001

Phone

(386) 767-3752

NPI assigned

Sep 18, 2015

Last updated

Sep 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Julietta Sophie Del Arco Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • NPI 1770838872

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  NPD (past)
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  • NPI 1861638827
  NPD (past)

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1639548787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7735 PLANTATION BAY DR APT 106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322445192",
            "telephone_number": "352-207-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 CLYDE MORRIS BLVD UNIT 501",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321293001",
            "telephone_number": "386-767-3752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7735 Plantation Bay Dr Apt 106",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322445192",
            "country_code": "US",
            "telephone_number": "352-207-3806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12025 San Jose Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322231639",
            "country_code": "US",
            "telephone_number": "904-419-7792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNER",
        "first_name": "JULIETTA",
        "middle_name": "SOPHIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102621200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIETTA",
            "last_name": "DEL ARCO",
            "middle_name": "SOPHIE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bethany Berger
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• George Thomas Bernardo, M.D.
• Amy Besecker
• Kelsey Besler
• Sara Best
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• Justin Beyer, MD

• Behavior Technician in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.