Individual
BRIANNA ALEAHA RUSSETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27720 JEFFERSON AVE STE 150, TEMECULA, CA 92590-2630
(951) 699-8640
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
Y6199695
CA
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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