Brittanie Renee Tank

Individual provider Active NPI Behavior Technician · W, Metairie, LA

NPI 1285270959 · NPPES record last updated Nov 18, 2019

Key facts

NPI
1285270959
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
4201 N 1-10 Service Rd
W, Metairie, LA 70006
Phone
(877) 418-2978
Fax
(866) 500-2186
NPI assigned
Nov 18, 2019
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X LA Yes

Addresses

Primary practice location

4201 N 1-10 Service Rd
W, Metairie, LA 70006

Mailing address

4201 N I 10 Service Rd W
Metairie, LA 70006-6713

Other providers in W, Metairie, LA

All providers in W, Metairie, LA · Behavior Technician in Louisiana

Sources for this page

Verify at the official NPI Registry.