Healthcare Provider Details

I. General information

NPI: 1932039880
Provider Name (Legal Business Name): SAMANTHA SUSAN BRIGANTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2141 PALOMAR AIRPORT RD
CARLSBAD CA
92011-1423
US

IV. Provider business mailing address

1318 MCKINLEY AVE
ESCONDIDO CA
92027-1910
US

V. Phone/Fax

Practice location:
  • Phone: 443-430-7570
  • Fax:
Mailing address:
  • Phone: 442-217-9638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: