Provider Demographics
NPI:1427818673
Name:CANIZALES, BRITNEY GISELLE
Entity type:Individual
Prefix:
First Name:BRITNEY
Middle Name:GISELLE
Last Name:CANIZALES
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 1:732 W 77TH ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90044-6016
Mailing Address - Country:US
Mailing Address - Phone:323-392-2844
Mailing Address - Fax:
Practice Address - Street 1:732 W 77TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90044-6016
Practice Address - Country:US
Practice Address - Phone:323-392-2844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst