Provider Demographics
NPI:1164977120
Name:HWANG, BRENDA SHIN-HWA (BCBA)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:SHIN-HWA
Last Name:HWANG
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:BRENDA
Other - Middle Name:SHIN-HWA
Other - Last Name:SILVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCABA
Mailing Address - Street 1:7176 LEMON GRASS AVE
Mailing Address - Street 2:
Mailing Address - City:EASTVALE
Mailing Address - State:CA
Mailing Address - Zip Code:92880-8965
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7176 LEMON GRASS AVE
Practice Address - Street 2:
Practice Address - City:EASTVALE
Practice Address - State:CA
Practice Address - Zip Code:92880-8965
Practice Address - Country:US
Practice Address - Phone:626-373-3533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-19
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106E00000X, 106S00000X
CA1-24-76255103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician