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NPI Code Detail

MEDICARE: VASHTI IMAN BRELAND

MEDICARE: VASHTI IMAN BRELAND
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
1106E00000XAssistant Behavior AnalystCA

General Provider Information

NPI Number : 1689536427
Entity Type Code : Individual
Provider Name (Legal Business Name) : VASHTI IMAN BRELAND
Provider Business Mailing Address
First Line : 27160 VISTA RD APT 14
Second Line :
City : HELENDALE
State : CA
Zip : 92342-9764
Country : US
Telephone Number : 206-707-2163
Fax Number :
Provider Business Practice Location Address
First Line : 8832 SYRACUSE AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92804-6229
Country : US
Telephone Number : 323-916-4602
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/01/2025

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Directions to “ VASHTI IMAN BRELAND ” Practice Location

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