Britney Starla Phetbourom
Behavior Technician in Stockton, CA. Individual provider (NPI-1).
NPI number1144828880
StatusActive
Last updated in NPPESOct 22, 2020
Details
- NPI
- 1144828880
- Entity type
- Individual (NPI-1)
- Name
- Britney Starla Phetbourom
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2020
- Certification date
- Oct 22, 2020
- Last updated
- Oct 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
5250 Claremont Ave Ste 135Stockton, CA 95207-5700
Phone 888-805-0759
Mailing address
1055 E Colorado Blvd Ste 560Pasadena, CA 91106-2380
Phone 818-214-6780 · Fax 818-241-6853
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 3,125 Behavior Technician providers in Stockton · All 11,041 providers in Stockton
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