Individual
BRIANA LOGUIDICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 6028, CRESTLINE, CA 92325-6028
(909) 501-7695
Mailing address
PO BOX 6028, CRESTLINE, CA 92325-6028
(909) 501-7695
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-70383
OK
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/06/2021
Last updated
07/02/2024
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