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Individual

BRITTNEY JERRILENA MONIQUE GARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1901 STUART ST, BERKELEY, CA 94703
(510) 944-6170
Mailing address
1901 STUART ST, BERKELEY, CA 94703
(510) 944-6170

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E3629432
ALAMEDA ALLIANCE
CA
05
E3629432
CA
Enumeration date
05/16/2019
Last updated
05/16/2019
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