Provider Demographics
NPI:1083950182
Name:SINGH, BRIANAH CARLIN (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:BRIANAH
Middle Name:CARLIN
Last Name:SINGH
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5135 N TEILMAN AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-3012
Mailing Address - Country:US
Mailing Address - Phone:559-696-8926
Mailing Address - Fax:
Practice Address - Street 1:5135 N TEILMAN AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-3012
Practice Address - Country:US
Practice Address - Phone:559-696-8926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-17
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
CA11211432103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst