MEDICARE: BRITTNEY ANN ESPINA 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
1	103K00000X	Behavior Analyst	1-15-21076	CA

General Provider Information

NPI Number	:	1871952804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTNEY ANN ESPINA BCBA

Provider Business Mailing Address
First Line	:	15888 MADELYN CT
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-7851
Country	:	US
Telephone Number	:	951-313-1824
Fax Number	:

Provider Business Practice Location Address
First Line	:	4195 CHINO HILLS PKWY # 253
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-2618
Country	:	US
Telephone Number	:	951-313-1824
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2016
Last Update Date	:	04/04/2025

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