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NPI Code Detail

MEDICARE: SEAN BRENNAN MA, BCBA

MEDICARE:   SEAN  BRENNAN  MA, BCBA
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 Analyst1-15-19532CA

General Provider Information

NPI Number : 1174074462
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN BRENNAN MA, BCBA
Provider Business Mailing Address
First Line : 844 STARBURST CT
Second Line :
City : WINDSOR
State : CA
Zip : 95492-8938
Country : US
Telephone Number : 707-228-4220
Fax Number :
Provider Business Practice Location Address
First Line : 1301 REDWOOD WAY STE 210
Second Line :
City : PETALUMA
State : CA
Zip : 94954-1134
Country : US
Telephone Number : 707-806-9921
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2016
Last Update Date : 04/23/2026

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Directions to “ SEAN BRENNAN MA, BCBA” Practice Location

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