Provider Demographics
NPI:1588154272
Name:PARISH, BRITTNEY JOY (MA)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:JOY
Last Name:PARISH
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-5160
Mailing Address - Country:US
Mailing Address - Phone:657-236-1287
Mailing Address - Fax:
Practice Address - Street 1:1616 E 4TH ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-5160
Practice Address - Country:US
Practice Address - Phone:657-236-1287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-17
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician