Liles, Brandi Dawn
Liles, Brandi Dawn is an individual health care provider with primary practice located at 3671 Business Dr Suite # 100, Sacramento CA 95820-2165. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Liles, Brandi Dawn can be contacted via phone (916) 734-2278.Contact Information
Primary practice address
3671 Business Dr Suite # 100
Sacramento CA 95820-2165
Phone: (916) 734-2278
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 26903 | California |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 26903 | California |
Profile Details
| NPI number | 1962641126 |
|---|---|
| LBN Legal business name | Liles, Brandi Dawn |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2009 |
| Last updated | Nov 5th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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