Provider Demographics
NPI:1164288924
Name:SANCHEZ ZARAGOZA, BRIANA
Entity Type:Individual
Prefix:MS
First Name:BRIANA
Middle Name:
Last Name:SANCHEZ ZARAGOZA
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 1:1546 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95206-3335
Mailing Address - Country:US
Mailing Address - Phone:408-591-1264
Mailing Address - Fax:
Practice Address - Street 1:1546 E 9TH ST
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95206-3335
Practice Address - Country:US
Practice Address - Phone:408-591-1264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician