Provider Demographics
NPI:1124446109
Name:COLLINS, BRITTANY ANN (MS, BCABA)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ANN
Last Name:COLLINS
Suffix:
Gender:F
Credentials:MS, BCABA
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:ANN
Other - Last Name:ROSS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, RBT
Mailing Address - Street 1:3301 SELWYN LANDING DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-6807
Mailing Address - Country:US
Mailing Address - Phone:704-794-4905
Mailing Address - Fax:818-241-6853
Practice Address - Street 1:125 BALDWIN AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-3364
Practice Address - Country:US
Practice Address - Phone:980-423-1210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-07
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician