Provider Demographics
NPI:1184460776
Name:STURHOLM, BRITTANY (MA, BCBA)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:STURHOLM
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3463 STATE ST # 275
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-2662
Mailing Address - Country:US
Mailing Address - Phone:805-620-7337
Mailing Address - Fax:213-338-1088
Practice Address - Street 1:2101 WINEPOL LOOP
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-6640
Practice Address - Country:US
Practice Address - Phone:559-286-6235
Practice Address - Fax:213-338-1088
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12473180103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst