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

Ian Dacosta Brathwaite Jr.

Individual provider Behavior Technician · NPI 1538012364

Ian Dacosta Brathwaite Jr. is a Behavior Technician in Los Angeles, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

6426 W 5th St
Los Angeles, CA 90048-4710
Phone: (323) 825-7172
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1538012364
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 19, 2026
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

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