Brianna Cardona

Individual provider Active NPI Behavior Analyst · Grover Beach, CA

NPI 1780225102 · NPPES record last updated Oct 7, 2019

Key facts

NPI
1780225102
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
1986 Brighton Ave
Grover Beach, CA 93433-1816
Phone
(269) 352-3660
NPI assigned
Oct 7, 2019
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)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

1986 Brighton Ave
Grover Beach, CA 93433-1816

Mailing address

1986 Brighton Ave
Grover Beach, CA 93433-1816

Other providers in Grover Beach, CA

All providers in Grover Beach, CA · Behavior Analyst in California

Sources for this page

Verify at the official NPI Registry.