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NPI Code Detail

MEDICARE: ROSA BRIZUELA

MEDICARE: ROSA BRIZUELA
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 Analyst

General Provider Information

NPI Number : 1518899004
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSA BRIZUELA
Provider Business Mailing Address
First Line : 9600 CENTER AVE STE 160
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-5838
Country : US
Telephone Number : 858-264-5858
Fax Number :
Provider Business Practice Location Address
First Line : 9600 CENTER AVE STE 160
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-5838
Country : US
Telephone Number : 858-264-5858
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

Similar Medicare Providers

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1730571746 — LAUREN ASHLEY STARICK
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Directions to “ ROSA BRIZUELA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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