Provider Demographics
NPI:1215299391
Name:SPORRE, BRITTANY (MS SPED)
Entity type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:
Last Name:SPORRE
Suffix:
Gender:F
Credentials:MS SPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 MARLIN ST
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-8130
Mailing Address - Country:US
Mailing Address - Phone:631-872-0634
Mailing Address - Fax:
Practice Address - Street 1:11 FRANKIE LN
Practice Address - Street 2:
Practice Address - City:NORTH BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11703-3701
Practice Address - Country:US
Practice Address - Phone:631-872-0634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-13
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist