Healthcare Provider Details

I. General information

NPI: 1013527233
Provider Name (Legal Business Name): BRENDA HERRERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2020
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 YGNACIO VALLEY RD STE C202
WALNUT CREEK CA
94598-3392
US

IV. Provider business mailing address

2021 YGNACIO VALLEY RD STE C202
WALNUT CREEK CA
94598-3392
US

V. Phone/Fax

Practice location:
  • Phone: 925-945-1474
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number38184
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: