Individual
ADRIAN A BRISENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
640 N TUSTIN AVE STE 101, SANTA ANA, CA 92705-3731
(949) 701-2740
Mailing address
640 N TUSTIN AVE STE 101, SANTA ANA, CA 92705-3731
(949) 701-2740
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
07/16/2021
Last updated
02/28/2023
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