=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669937546
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BRIANA OCHOA M.S.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/05/2019
-----------------------------------------------------
Last Update Date | 01/27/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1200 CONCORD AVE STE 185
-----------------------------------------------------
City | CONCORD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94520-5006
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 866-273-2451
-----------------------------------------------------
Fax | 866-608-5560
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1200 CONCORD AVE STE 185
-----------------------------------------------------
City | CONCORD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94520-5006
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 866-273-2451
-----------------------------------------------------
Fax | 866-608-5560
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number | 1-22-62423
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------