Provider Demographics
NPI:1427851260
Name:BARNHARDT, TAIZIN FUJISHIMA
Entity type:Individual
Prefix:
First Name:TAIZIN
Middle Name:FUJISHIMA
Last Name:BARNHARDT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:813 ALPINE ST APT 201
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012-6405
Mailing Address - Country:US
Mailing Address - Phone:562-825-9663
Mailing Address - Fax:
Practice Address - Street 1:1000 CORPORATE CENTER DR STE 120
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-7610
Practice Address - Country:US
Practice Address - Phone:562-825-9663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician