Tawanna, Brooke
Tawanna, Brooke is an sole proprietor health care provider with primary practice located at 17848 Sky Park Cir Ste B , Irvine CA 92614-6135. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Tawanna, Brooke can be contacted via phone (949) 418-7167.Contact Information
Primary practice address
17848 Sky Park Cir Ste B
Irvine CA 92614-6135
Phone: (949) 418-7167
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 11211493 | California |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | BCBA 1-12-11493 | California |
Profile Details
| NPI number | 1336483056 |
|---|---|
| LBN Legal business name | Tawanna, Brooke |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 19th, 2012 |
| Last updated | Aug 10th, 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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