Provider Demographics
NPI:1477811362
Name:ESPARZA, BRIANA NICOLE
Entity Type:Individual
Prefix:MS
First Name:BRIANA
Middle Name:NICOLE
Last Name:ESPARZA
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 1:4010 MERRILL AVE STE C-2
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-2216
Mailing Address - Country:US
Mailing Address - Phone:951-215-8342
Mailing Address - Fax:
Practice Address - Street 1:4010 MERRILL AVE STE C-2
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-2216
Practice Address - Country:US
Practice Address - Phone:951-322-2774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-27
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist