Provider Demographics
NPI:1942806229
Name:KEARNS-SPERANZA, BRENDAN F (MS, BCBA)
Entity type:Individual
Prefix:
First Name:BRENDAN
Middle Name:F
Last Name:KEARNS-SPERANZA
Suffix:
Gender:M
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 E FLOWER ST APT 209
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-7340
Mailing Address - Country:US
Mailing Address - Phone:585-260-8068
Mailing Address - Fax:
Practice Address - Street 1:16620 N 40TH ST BLDG I
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-3348
Practice Address - Country:US
Practice Address - Phone:480-801-0101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-10
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty