Individual
BRANDY CHRISTAL OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2080 S E ST, SAN BERNARDINO, CA 92408-2773
(909) 433-9300
Mailing address
2080 S E ST, SAN BERNARDINO, CA 92408-2773
(094) 339-3009
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
167G00000X
Licensed Psychiatric Technician
Primary
PT38056
CA
Other
Enumeration date
02/16/2023
Last updated
11/11/2024
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