Healthcare Provider Details

I. General information

NPI: 1548924384
Provider Name (Legal Business Name): ALLAN BERNARD-PANTIN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: TWIXT TOUSSAINT BERNARD-PANTIN

II. Dates (important events)

Enumeration Date: 10/27/2021
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 UNIVERSITY AVE STE 200
SACRAMENTO CA
95825-6540
US

IV. Provider business mailing address

7108 S KANNER HWY
STUART FL
34997-7462
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-90106
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: