Brittany Ann Travarca, PSY.M., BCBA, COBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-59302 Issued in OH

Practice address

2427 Larchmont Dr
Wickliffe, OH 44092-2441

Phone

(440) 525-0703

NPI assigned

Apr 26, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Brittany Ann Fortkamp Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1902594203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 LARCHMONT DR",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440922441",
            "telephone_number": "440-525-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 LARCHMONT DR",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440922441",
            "telephone_number": "440-525-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVARCA",
        "first_name": "BRITTANY",
        "middle_name": "ANN",
        "credential": "PSY.M., BCBA, COBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "1-22-59302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "FORTKAMP",
            "middle_name": "ANN",
            "credential": "PSY.M., BCBA, COBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Behavior Analyst in Wickliffe, OH
• Providers in Wickliffe, OH by specialty
• Behavior Analyst in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.