# BRAIN TRAINING INSTITUTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619590528
- **Authorized official:** DR. DEBRA WALKER MCCLENDON PHD (CEO)
- **Authorized official phone:** (909) 374-7935

## Contact information

- **Practice address:** 100 PIERRE RD STE A, WALNUT, CA 91789-2565
- **Practice address phone:** (909) 374-7935
- **Practice address fax:** (090) 575-6717
- **Mailing address:** 1093 CALLE CARRILLO, SAN DIMAS, CA 91773-4300
- **Mailing address phone:** (909) 374-7935
- **Mailing address fax:** (909) 575-6717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246Z00000X | Other Specialist/Technologist | — | NULL | Yes |
| 246Z00000X | Other Specialist/Technologist | — | — | Yes |

## Other

- **Enumeration date:** 05/26/2020
- **Last updated:** 05/26/2020