Princessshamecca Myethel Brent, RBT
Individual provider Active NPI Behavior Technician · Lorton, VA
NPI 1104540194 · NPPES record last updated May 16, 2024
Key facts
- NPI
- 1104540194
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 8530 Cinder Bed Rd
Lorton, VA 22079-1476 - Phone
- (844) 244-1818
- NPI assigned
- Oct 3, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | MD | ||
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
8530 Cinder Bed Rd
Lorton, VA 22079-1476
Mailing address
1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108
Phone (844) 244-1818
Other providers in Lorton, VA
- Blossom Fatima Home Healthcare Services
- Bode Cellmark Forensics, Inc.
- Caitlin M Bohnert
- Iesha Boulware
- Daniel Patrick Braun
- Brighthope Homecare, LLC
- Britepath ABA Therapy LLC
- Bonnie Jean Brooks
- Gabriella Buell
- Building Solutions Inc
All providers in Lorton, VA · Behavior Technician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.