Healthcare Provider Details

I. General information

NPI: 1033041454
Provider Name (Legal Business Name): RILEY CAYDEN BERNARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14055 TOWN LOOP BLVD STE AND300
ORLANDO FL
32837-6105
US

IV. Provider business mailing address

327 FAIRMONT RD
WESTON FL
33326-3583
US

V. Phone/Fax

Practice location:
  • Phone: 140-785-7628
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI7739
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: