Provider Demographics
NPI:1144865940
Name:BERNAL, ARMANDO JAVIER JR (BCBA)
Entity type:Individual
Prefix:
First Name:ARMANDO
Middle Name:JAVIER
Last Name:BERNAL
Suffix:JR
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 CONGRESS AVE STE 1600
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-4079
Mailing Address - Country:US
Mailing Address - Phone:512-330-2279
Mailing Address - Fax:
Practice Address - Street 1:3608 RESEARCH FOREST DR STE 500
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-4560
Practice Address - Country:US
Practice Address - Phone:713-388-6410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-15
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3060103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst