Brooke E Talent
Individual provider Active NPI Behavior Technician · Pollock Pines, CA
NPI 1245019652 · NPPES record last updated Sep 25, 2023
Key facts
- NPI
- 1245019652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2804 Romer Blvd
Pollock Pines, CA 95726-9242 - Phone
- (855) 832-6727
- NPI assigned
- Sep 25, 2023
- Sex
- Female
- Sole proprietor
- No
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2804 Romer Blvd
Pollock Pines, CA 95726-9242
Mailing address
2731 La Crescenta Dr Apt 4
Cameron Park, CA 95682-7928
Phone (916) 757-2357
Other providers in Pollock Pines, CA
- Sierra Pines Speech Therapy & Myofunctional Services
- Jessica Spangler
- Robert John Stadelhofer
- Marbel D Steves
- Maryam Syed
- Joseph Cree Taylor
- Hayden Bryce Threadgill
- Jason Tran
- Kathleen Trosper
All providers in Pollock Pines, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.