Bryssa Koppie
Bryssa Koppie is a Behavior Technician in Irvine, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
25 Via Lucca Apt J345Irvine, CA 92612-0674
Phone: (651) 592-8949
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 118448 (CA) |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
Record details
| NPI number | 1417678038 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 12, 2022 |
| Last updated in NPPES | October 8, 2023 |
| Certification date | October 8, 2023 |
| Mailing address | 25 Via Lucca Apt J345, Irvine, CA 92612-0674 |
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