Healthcare Provider Details
I. General information
NPI: 1932021474
Provider Name (Legal Business Name): BRISET CECENA SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5051 W OVERTON RD
TUCSON AZ
85742-9373
US
IV. Provider business mailing address
12460 N INSUN ST
MARANA AZ
85653-9064
US
V. Phone/Fax
- Phone: 520-579-4800
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2355S0801X |
| Taxonomy | Speech-Language Assistant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: