Provider Demographics
NPI:1720398894
Name:BERARD, ALLISON MARIE (MS, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:MARIE
Last Name:BERARD
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:MS
Other - First Name:ALLISON
Other - Middle Name:MARIE
Other - Last Name:HAMILTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, BCBA
Mailing Address - Street 1:824 BANBURY DR
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32129-3753
Mailing Address - Country:US
Mailing Address - Phone:407-221-3076
Mailing Address - Fax:866-610-0580
Practice Address - Street 1:1128 BEVILLE RD
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-5747
Practice Address - Country:US
Practice Address - Phone:386-267-3161
Practice Address - Fax:866-610-0580
Is Sole Proprietor?:No
Enumeration Date:2010-10-07
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst