Mia Destiny Brito
Behavior Technician in Cypress, CA. Individual provider (NPI-1).
NPI number1669201729
StatusActive
Last updated in NPPESJul 29, 2024
Details
- NPI
- 1669201729
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mia Destiny Brito
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 29, 2024
- Certification date
- Jul 29, 2024
- Last updated
- Jul 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Other names
- Mia Destiny Brito (Former Name)
Practice location
5252 Orange Ave Ste 109Cypress, CA 90630-2967
Phone 657-214-8014
Mailing address
12702 Aristocrat AveGarden Grove, CA 92841-4634
Phone 714-499-6368
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All 131 Behavior Technician providers in Cypress · All 833 providers in Cypress
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