Healthcare Provider Details

I. General information

NPI: 1992355333
Provider Name (Legal Business Name): BRITTANY ANN MASANGKAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2019
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 SHASTA ST
REDWOOD CITY CA
94063-2124
US

IV. Provider business mailing address

PO BOX 5085
SOUTH SAN FRANCISCO CA
94083-5085
US

V. Phone/Fax

Practice location:
  • Phone: 650-599-1033
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT159430
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: