Individual
BRITTLIN FAGUNDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 ROSWELL AVE APT 2, LONG BEACH, CA 90803-2946
(619) 206-1216
Mailing address
31 ROSWELL AVE APT 2, LONG BEACH, CA 90803-2946
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
136942
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/24/2018
Last updated
05/22/2024
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