Individual
BREANNE TAMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21800 AVALON BLVD UNIT 403, CARSON, CA 90745-2454
(310) 896-1160
Mailing address
21800 AVALON BLVD UNIT 403, CARSON, CA 90745-2454
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
363A00000X
Physician Assistant
Primary
—
CA
Other
Enumeration date
10/29/2019
Last updated
06/08/2026
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