Mia Destiny Brito
Individual provider Active NPI Behavior Technician · Cypress, CA
NPI 1669201729 · NPPES record last updated Jul 29, 2024
Key facts
- NPI
- 1669201729
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 5252 Orange Ave Ste 109
Cypress, CA 90630-2967 - Phone
- (657) 214-8014
- NPI assigned
- Jul 29, 2024
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
5252 Orange Ave Ste 109
Cypress, CA 90630-2967
Mailing address
12702 Aristocrat Ave
Garden Grove, CA 92841-4634
Phone (714) 499-6368
Other names
- Mia Destiny Brito
Other providers in Cypress, CA
- Aaron Boyd
- John Boyle
- Sean Braza
- Sarah Breucop
- Brian Nguyen Dental Corporation
- Clare Marie Brooks
- Angelica Brown
- Kimberly Marie Brown
- Scott Brunner
- Emily Bui
All providers in Cypress, 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 Jul 29, 2024. 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.