Healthcare Provider Details

I. General information

NPI: 1659248318
Provider Name (Legal Business Name): BRIANNA LLAMAS
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2025
Last Update Date: 10/18/2025
Certification Date: 10/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

153 E WHITTIER BLVD STE A
LA HABRA CA
90631-3884
US

IV. Provider business mailing address

153 E WHITTIER BLVD STE A
LA HABRA CA
90631-3884
US

V. Phone/Fax

Practice location:
  • Phone: 562-298-0565
  • Fax:
Mailing address:
  • Phone: 562-298-0565
  • 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: