Provider Demographics
NPI:1184415879
Name:BERNAL, SALEEN AYLIN
Entity type:Individual
Prefix:
First Name:SALEEN
Middle Name:AYLIN
Last Name:BERNAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8949 FIREBIRD LN
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-1229
Mailing Address - Country:US
Mailing Address - Phone:323-354-8489
Mailing Address - Fax:
Practice Address - Street 1:8949 FIREBIRD LN
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-1229
Practice Address - Country:US
Practice Address - Phone:323-354-8489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst