Healthcare Provider Details

I. General information

NPI: 1245865492
Provider Name (Legal Business Name): BRIANA MAE FERRON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRIANA MAE HABEGER

II. Dates (important events)

Enumeration Date: 03/09/2020
Last Update Date: 11/01/2025
Certification Date: 11/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2904 W SUNSET BLVD STE 4
LOS ANGELES CA
90026-7308
US

IV. Provider business mailing address

2904 W SUNSET BLVD STE 4
LOS ANGELES CA
90026-7308
US

V. Phone/Fax

Practice location:
  • Phone: 562-708-2236
  • Fax:
Mailing address:
  • Phone: 562-708-2236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number130324
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: