Individual
DR. BRINITI ICHULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1000 E LATHAM AVE STE C, HEMET, CA 92543-4409
(951) 766-8008
(949) 202-0360
Mailing address
PSC 474 BOX 6501, FPO, AP 96351-0066
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-90136
—
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
—
—
Other
Enumeration date
05/03/2016
Last updated
05/22/2026
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