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1174488241 NPI number — JESSICA L BERMAN

NPI Number: 1174488241
Health Care Provider/Practitioner: JESSICA L BERMAN

Information about “1174488241” NPI (JESSICA L BERMAN) exists in 1174488241 in HTML format HTML  |  1174488241 in plain Text format TXT  |  1174488241 in PDF (Portable Document Format) PDF  |  1174488241 in an XML format XML  formats.

NPI Number : 1174488241 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174488241",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BERMAN",
    "FirstName": "JESSICA",
    "MiddleName": "L",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BERMAN",
    "OtherFirstName": "JESSIE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "7985 SW 135TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PINECREST",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33156-6764",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "305-969-8345",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10447 SW 108TH AVE APT E278",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIAMI",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33176-8115",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "786-645-9900",
    "PracticeLocationAddressFaxNumber": "305-402-3829",
    "EnumerationDate": "12/19/2025",
    "LastUpdateDate": "12/19/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "X",
    "Gender": null,
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "106S00000X",
        "TaxonomyName": "Behavior Technician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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