Individual
BRIANNA NICOLE HAZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
120 ASCOT DR STE D, ROSEVILLE, CA 95661
(916) 787-1100
Mailing address
120 ASCOT DR STE D, ROSEVILLE, CA 95661-3400
(916) 787-1100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30061
CA
Other
Enumeration date
06/04/2018
Last updated
03/08/2021
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