Healthcare Provider Details

I. General information

NPI: 1245152065
Provider Name (Legal Business Name): BRITTANY AGUAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1248 MARGALO ST
WASCO CA
93280-2834
US

IV. Provider business mailing address

1248 MARGALO ST
WASCO CA
93280-2834
US

V. Phone/Fax

Practice location:
  • Phone: 661-709-8771
  • Fax: 661-709-8771
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: