Darlicia Tiffany Bruner, is a
Day Training/habilitation Specialist based in San Leandro, California. Darlicia Tiffany Bruner is licensed to practice in * (Not Available) (license number ) and her current practice location is
400 Estudillo Ave, San Leandro, California. She can be reached at her office (for appointments etc.) via phone at
(510) 924-0548.
NPI number for Darlicia Tiffany Bruner is 1174283733 and her current mailing address is 400 Estudillo Ave, San Leandro, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174283733.
Healthcare Provider's Profile
| Full Name | Darlicia Tiffany Bruner |
|---|
| Gender | Female |
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| Speciality | Day Training/habilitation Specialist |
|---|
| Location | 400 Estudillo Ave, San Leandro, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174283733
- Provider Enumeration Date: 12/23/2021
- Last Update Date: 07/06/2025
Medical Identifiers
Medical identifiers for Darlicia Tiffany Bruner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174283733 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | AMFT146417 (California) | Secondary |
| 373H00000X | Day Training/habilitation Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Darlicia Tiffany Bruner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Darlicia Tiffany Bruner,
400 Estudillo Ave,
San Leandro, CA 94577-4999
Ph: (510) 924-0548 | Darlicia Tiffany Bruner,
400 Estudillo Ave,
San Leandro, CA 94577-4999
Ph: (510) 924-0548 |
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