Madrigal, Bryanna Alyssa

Madrigal, Bryanna Alyssa is an individual health care provider with primary practice located at 8915 S Harl Ave , Tempe AZ 85284-1030. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Madrigal, Bryanna Alyssa can be contacted via phone (480) 672-0536.

Contact Information

Primary practice address
8915 S Harl Ave Tempe AZ 85284-1030
Phone: (480) 672-0536
Fax: (317) 520-8200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-21-53126
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-108714 Arizona
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BEH-000731 Arizona

Profile Details

NPI number 1700425352
LBN Legal business name Madrigal, Bryanna Alyssa
Credentials MS, BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2019
Last updated Dec 14th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700425352 NPPES
Other 1-21-53126 BCBA CERTIFICATE

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