Individual
BRITTANY SOUISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
11799 SEBASTIAN WAY STE 103, RANCHO CUCAMONGA, CA 91730-0708
(909) 747-5484
Mailing address
1024 SPARROW CT, CALIMESA, CA 92320-4923
(909) 747-5484
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/20/2026
Last updated
07/21/2026
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