Healthcare Provider Details

I. General information

NPI: 1932032232
Provider Name (Legal Business Name): BRITNY VANESSA SEGOVIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34448 YUCAIPA BLVD UNIT A
YUCAIPA CA
92399-2412
US

IV. Provider business mailing address

1484 TURQUOISE AVE
MENTONE CA
92359-1259
US

V. Phone/Fax

Practice location:
  • Phone: 909-353-7547
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: