Individual
MISS BRITTANY NICOLE BANUELOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
530 KINGS COUNTY DR STE 106, HANFORD, CA 93230-5954
(559) 754-3128
Mailing address
400 OYSTER POINT BLVD STE 501, SOUTH SAN FRANCISCO, CA 94080-7600
(650) 866-4080
(650) 866-4083
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
—
CA
171M00000X
Case Manager/Care Coordinator
—
CA
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
07/03/2020
Last updated
07/02/2025
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