Skip Navigation

Provider Information for 1285270132

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

BRENNA GREEN

Gender: FEMALE

Individual NPI: 1285270132

Calendar   Last Updated:  2019-11-25
  Certification Date: 

Details

Name Value
NPI 1285270132
Enumeration Date 2019-11-25
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1055 E COLORADO BLVD STE 560
PASADENA, CA 91106-2380
United States

Phone: 818-241-6780 | Fax: 818-241-6853
View Map External Link
Primary Practice Address 950A UNION RD
WEST SENECA, NY 14224-3465
United States

Phone: 818-241-6780 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 106S00000X - Behavior Technician