Amanda Jane Bernard, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-11988

Practice address

413 Bloomfield Ave
Apt C
Montclair, NJ 07042-3572

Phone

(917) 208-3110

NPI assigned

Mar 6, 2013

Last updated

Mar 6, 2013By the provider in NPPES

Sex

Female

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": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1679814289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 BLOOMFIELD AVE",
            "address_2": "APT C",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423572",
            "telephone_number": "917-208-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 BLOOMFIELD AVE",
            "address_2": "APT C",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423572",
            "telephone_number": "917-208-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "AMANDA",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-12-11988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mara Michelle Berganovsky, MSN CNM WHNP-BC
• Yelena Berlin
• Jacqueline Berliner, LCSW
• Jessica Berliner, MS
• Francis Berlingeri, MD
• Nadine Bernard, RDT
• Joselyn A Berrios, MSW, LSW
• Bespoke Therapy & Care
• Beth Dibiase Counseling and Psychotherapy, LLC
• Better Balance Psychotherapy Associates LLC

• Behavior Analyst in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.