Healthcare Provider Details

I. General information

NPI: 1124950134
Provider Name (Legal Business Name): BRITTNEY NICOLE ROSAS-DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4215 SPRING ST
LA MESA CA
91941-7965
US

IV. Provider business mailing address

10035 PROSPECT AVE STE 101
SANTEE CA
92071-4385
US

V. Phone/Fax

Practice location:
  • Phone: 619-797-1724
  • Fax:
Mailing address:
  • Phone: 619-797-1724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: