Provider Demographics
NPI:1093691677
Name:STARNES, BRENIA
Entity type:Individual
Prefix:
First Name:BRENIA
Middle Name:
Last Name:STARNES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5121 E 29TH ST APT 230
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-5801
Mailing Address - Country:US
Mailing Address - Phone:323-333-6293
Mailing Address - Fax:
Practice Address - Street 1:7201 N ULENE PL
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-2218
Practice Address - Country:US
Practice Address - Phone:323-333-6293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician