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NPI Code Detail

MEDICARE: BRENDA VILLA RBT

MEDICARE: BRENDA VILLA RBT
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
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1558211052
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA VILLA RBT
Provider Business Mailing Address
First Line : 32107 LINDERO CANYON RD STE 229
Second Line :
City : WESTLAKE VILLAGE
State : CA
Zip : 91361-4266
Country : US
Telephone Number : 818-851-9213
Fax Number : 818-855-7058
Provider Business Practice Location Address
First Line : 32107 LINDERO CANYON RD STE 229
Second Line :
City : WESTLAKE VILLAGE
State : CA
Zip : 91361-4266
Country : US
Telephone Number : 818-851-9213
Fax Number : 818-855-7058
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ BRENDA VILLA RBT” Practice Location

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