Individual
BRANDY REBOLLEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4224 FOWLER LN STE 101, DIAMOND SPRINGS, CA 95619-9775
(916) 225-0778
Mailing address
4224 FOWLER LN STE 101, DIAMOND SPRINGS, CA 95619-9775
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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