Provider Demographics
NPI:1184487712
Name:HONDA, BRITTANY A
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:A
Last Name:HONDA
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 1:7108 S KANNER HWY
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-7462
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:44655 N EL MACERO DR
Practice Address - Street 2:
Practice Address - City:EL MACERO
Practice Address - State:CA
Practice Address - Zip Code:95618-1066
Practice Address - Country:US
Practice Address - Phone:530-761-6205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician