Individual
BRENNA LEA SEVERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
223 E THOUSAND OAKS BLVD, THOUSAND OAKS, CA 91360-5803
(805) 418-9952
Mailing address
862 FAIRCHILD AVE, CAMARILLO, CA 93010-4619
(702) 449-1473
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
Other
Enumeration date
05/02/2022
Last updated
11/18/2024
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