Provider Demographics
NPI:1891860268
Name:OBRIEN, BRANDI E (RASI)
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:E
Last Name:OBRIEN
Suffix:
Gender:F
Credentials:RASI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24625 ARCH ST
Mailing Address - Street 2:
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321-1111
Mailing Address - Country:US
Mailing Address - Phone:661-288-2644
Mailing Address - Fax:661-288-2669
Practice Address - Street 1:24625 ARCH ST
Practice Address - Street 2:
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321-1111
Practice Address - Country:US
Practice Address - Phone:661-288-2644
Practice Address - Fax:661-288-2669
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)