VA'Aia Brown

Individual provider Active NPI Behavior Technician · San Bernardino, CA

NPI 1205517869 · NPPES record last updated Jul 27, 2023

Key facts

NPI
1205517869
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
473 E. Carnegie Drive
200
San Bernardino, CA 92408
Phone
(909) 277-6090
NPI assigned
Jul 27, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

473 E. Carnegie Drive
200
San Bernardino, CA 92408

Mailing address

473 E. Carnegie Drive
200
San Bernardino, CA 92408
Phone (909) 277-6090

Other providers in San Bernardino, CA

All providers in San Bernardino, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.