Brandon John Santiago-Cervantes
Behavior Technician in Covina, CA. Individual provider (NPI-1).
NPI number1093663791
StatusActive
Last updated in NPPESMar 18, 2026
Details
- NPI
- 1093663791
- Entity type
- Individual (NPI-1)
- Name
- Brandon John Santiago-Cervantes
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2026
- Certification date
- Mar 18, 2026
- Last updated
- Mar 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CA | Yes |
Practice location
1274 Center Court Dr Ste 211Covina, CA 91724-3668
Phone 626-339-4999
Mailing address
1274 Center Court Dr Ste 211Covina, CA 91724-3668
Phone 626-339-4999
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