Individual
BRANDY ARIEALLA CHAVARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
732 CHIMAYO ST APT B, BAKERSFIELD, CA 93307-7766
(661) 932-0362
Mailing address
732 CHIMAYO ST APT B, BAKERSFIELD, CA 93307-7766
(661) 932-0362
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
98595253D
MEDI-CAL
CA
Enumeration date
02/21/2023
Last updated
02/21/2023
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