Provider Demographics
NPI:1285977819
Name:BAUERLE, BRITTANY ELIZABETH (BCABA)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:ELIZABETH
Last Name:BAUERLE
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:MISS
Other - First Name:BRITTANY
Other - Middle Name:ELIZABETH
Other - Last Name:PAQUET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCABA
Mailing Address - Street 1:66 W MANILLA AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-2646
Mailing Address - Country:US
Mailing Address - Phone:860-338-1895
Mailing Address - Fax:
Practice Address - Street 1:528 E SPOKANE BLVD, SUITE 14
Practice Address - Street 2:NORTHWEST AUTISM CENTER
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202
Practice Address - Country:US
Practice Address - Phone:509-328-1582
Practice Address - Fax:509-376-3335
Is Sole Proprietor?:No
Enumeration Date:2013-04-02
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0-11-4378103K00000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst