Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breana Leticia Banuelos

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013656271

Breana Leticia Banuelos is a Student in an Organized Health Care Education/Training Program in Vista, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

200 Michigan Ave
Vista, CA 92084-5424
Phone: (760) 726-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1013656271
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 3, 2022
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025

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