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NPI Code Detail

MEDICARE: BRITTANY HUYEN CASILLAS-TA

MEDICARE: BRITTANY HUYEN CASILLAS-TA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-26-88355FL
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1154899268
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY HUYEN CASILLAS-TA
Provider Business Mailing Address
First Line : 1025 ATLANTIC AVE STE 101
Second Line :
City : ALAMEDA
State : CA
Zip : 94501-1188
Country : US
Telephone Number : 510-268-8120
Fax Number :
Provider Business Practice Location Address
First Line : 1025 ATLANTIC AVE STE 101
Second Line :
City : ALAMEDA
State : CA
Zip : 94501-1188
Country : US
Telephone Number : 510-268-8120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2018
Last Update Date : 03/20/2026

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Directions to “ BRITTANY HUYEN CASILLAS-TA ” Practice Location

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