Provider Demographics
NPI:1497814321
Name:CRIKELAIR, BRIANA (MA)
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:
Last Name:CRIKELAIR
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1068 E MAIN ST
Mailing Address - Street 2:SUITE #230-A
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93001-3091
Mailing Address - Country:US
Mailing Address - Phone:805-643-3738
Mailing Address - Fax:805-658-7791
Practice Address - Street 1:1068 E MAIN ST
Practice Address - Street 2:SUITE #230-A
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93001-3091
Practice Address - Country:US
Practice Address - Phone:805-643-3738
Practice Address - Fax:805-658-7791
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 32915106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist