Provider Demographics
NPI:1942806229
Name:KEARNS-SPERANZA, BRENDAN F (BAFINE ARTS/CBEST)
Entity Type:Individual
Prefix:
First Name:BRENDAN
Middle Name:F
Last Name:KEARNS-SPERANZA
Suffix:
Gender:M
Credentials:BAFINE ARTS/CBEST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3750 ANGELO AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94619-1268
Mailing Address - Country:US
Mailing Address - Phone:585-260-8068
Mailing Address - Fax:
Practice Address - Street 1:1025 ATLANTIC AVE STE 101
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-1188
Practice Address - Country:US
Practice Address - Phone:510-210-2597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-10
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician