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Shawntel Brailsford

Behavior Technician in Fullerton, CA. Individual provider (NPI-1).

NPI number1669934402
StatusActive
Last updated in NPPESApr 2, 2019

Details

NPI
1669934402
Entity type
Individual (NPI-1)
Name
Shawntel Brailsford
Sex
Female
Sole proprietor
No
Enumeration date
Apr 2, 2019
Last updated
Apr 2, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

713 W Commonwealth Ave Ste C
Fullerton, CA 92832-1612

Phone 714-879-4274 · Fax 714-879-2274

Mailing address

526 W Vermont Ave Apt 114
Anaheim, CA 92805-5035

Other practice locations

526 W Vermont Ave Apt 114
Anaheim, CA 92805-5035

Phone 562-405-5263

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