Brittany Davenport
Individual provider Active NPI Behavior Technician · Troutman, NC
NPI 1164058806 · NPPES record last updated Mar 13, 2020
Key facts
- NPI
- 1164058806
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 719 Ostwalt Amity Rd
Troutman, NC 28166-8768 - Phone
- (704) 380-7953
- NPI assigned
- Mar 13, 2020
- 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 | Yes |
Addresses
Primary practice location
719 Ostwalt Amity Rd
Troutman, NC 28166-8768
Mailing address
719 Ostwalt Amity Rd
Troutman, NC 28166-8768
Phone (704) 380-7953
Other providers in Troutman, NC
- Carolinas Physicians Network Inc
- Ashi Chabeda
- Miguel Angel Chavez
- Claimbridge Solutions LLC
- Bria Monique Coles
- Divine Healing Therapy
- Kristy Dobbins
- Dove Medical Supply Retail LLC
- Eastside Pharmacy Services, LLC
- Finley Chiropractic Center
All providers in Troutman, NC · Behavior Technician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2020. 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.