Individual
BRENDA ESCAMILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 PARKMOOR AVE STE 208, SAN JOSE, CA 95126-3407
(408) 885-0805
Mailing address
390 UNION BLVD STE 300, LAKEWOOD, CO 80228-6514
(707) 933-7252
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
07/12/2023
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