Healthcare Provider Details

I. General information

NPI: 1508472754
Provider Name (Legal Business Name): MS. ANAIBY L ALBRECHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2020
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10766 BROOKWELL DR
CUPERTINO CA
95014-4609
US

IV. Provider business mailing address

10766 BROOKWELL DR
CUPERTINO CA
95014-4609
US

V. Phone/Fax

Practice location:
  • Phone: 786-399-2651
  • Fax:
Mailing address:
  • Phone: 786-399-2651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number12261405
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: