Sophia Zenzele Brakeman
Assistant Behavior Analyst
1411 W 190th St Ste 110
Gardena
, California 90248-4370
Sophia Zenzele Brakeman
Assistant Behavior Analyst
1411 W 190th St Ste 110
Gardena
, California 90248-4370
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About
Features
Specialties
- Assistant Behavior Analyst
Languages spoken
- English
Location
First Address
- Sophia Zenzele Brakeman
- 1411 W 190th St Ste 110
- Gardena, CA
- Zip : 90248-4370
- Phone :
Second Address
- Sophia Zenzele Brakeman
- 1411 W 190th St Ste 110
- Gardena, CA
- Zip : 90248-4370
- Phone : (714) 834-1111
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Is Sophia Zenzele Brakeman a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst |
National Provider Identifier
| NPI | 1033799523 |
|---|---|
| Provider Name | Sophia Zenzele Brakeman |
| First Address | Gardena, CA 90248-4370 |
| Second Address | Gardena, CA 90248-4370 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/04/2021 |
| Last Update Date | 09/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.