Brynn Segismundo Mekpongsatorn

NPI #1104452481 in North Hollywood, California

Provider Information

NPI Number: 1104452481
Entity Type: Individual
Name: Brynn Segismundo Mekpongsatorn
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 18, 2020
Last Updated: Mar 18, 2020

Practice Location

Address: 5250 LANKERSHIM BLVD # 507
City: North Hollywood
State: California
ZIP Code: 91601-3186
Phone: (818) 806-0267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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