Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003377458 |
---|---|
Provider Name | Brandie Britt |
First Address | Tempe, AZ 85282-6905 |
Second Address | Tempe, AZ 85282-6905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2019 |
Last Update Date | 22/01/2020 |