Berner, Julietta Sophie
Berner, Julietta Sophie is an individual health care provider with primary practice located at 4647 Clyde Morris Blvd Unit 501 , Port Orange FL 32129-3001. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Berner, Julietta Sophie can be contacted via phone (386) 767-3752.Contact Information
Primary practice address
4647 Clyde Morris Blvd Unit 501
Port Orange FL 32129-3001
Phone: (386) 767-3752
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1639548787 |
|---|---|
| LBN Legal business name | Berner, Julietta Sophie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 18th, 2015 |
| Last updated | Sep 13th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639548787 | NPPES |
| Florida | MEDICAID | 102621200 |
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