Individual provider · Type 1 NPI

Dena Lauren Eva Brodsky

Student in an Organized Health Care Education/Training Program · San Jose, CA

NPI number 1811505597 Active

Practice location

160 E Virginia St Ste 280
San Jose, CA 95112-5817

Call (408) 938-2113 Map

Fax (408) 579-6143

Other practice locations

  • 424 Peninsula Ave, San Mateo, CA 94401-1653 · (650) 286-4296

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Behavior Technician 106S00000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1811505597

Dena Lauren Eva Brodsky's National Provider Identifier is 1811505597, issued on Jul 17, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Jose, CA. The record was last updated on Jun 23, 2023.