Most Relevant Information
Provider Data
| NPI Number: | 1003538935 |
| Provider Name: | JARED BERNER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/16/2022 |
| Last Updated: | 02/08/2023 |
Provider Practice Location
501 S WITTENBERG AVE
SPRINGFIELD
OH
455062101
Practice Location Phone/Fax
| Phone: | 9373423029 |
| Fax: |
Provider Mailing Location
127 QUICK RD
NEW CARLISLE
OH
453449253
Provider Mailing Phone/Fax
| Phone: | 9378453628 |
| Fax: |