MEDICARE: BERNAT ALTIMIRAS RIERA BCBA, LMHC, M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-18-33741	FL
2	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164886347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BERNAT ALTIMIRAS RIERA BCBA, LMHC, M.S.

Provider Business Mailing Address
First Line	:	8261 IVY STARK BLVD
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33545-2265
Country	:	US
Telephone Number	:	813-809-6897
Fax Number	:

Provider Business Practice Location Address
First Line	:	4236 W LINEBAUGH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-5241
Country	:	US
Telephone Number	:	813-557-1525
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2016
Last Update Date	:	03/20/2026

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