Provider Demographics
NPI:1124587589
Name:ARECHIGA, BRIANNA CELESTE
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:CELESTE
Last Name:ARECHIGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13519 BECHARD AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-4421
Mailing Address - Country:US
Mailing Address - Phone:562-743-2443
Mailing Address - Fax:
Practice Address - Street 1:13519 BECHARD AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-4421
Practice Address - Country:US
Practice Address - Phone:562-743-2443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-15
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician