Provider Demographics
NPI:1306341151
Name:DAVIS, BRITTNEY MICHELLE (BCBA)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:MICHELLE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 MICHELLE DR
Mailing Address - Street 2:
Mailing Address - City:SULPHUR
Mailing Address - State:LA
Mailing Address - Zip Code:70663-3908
Mailing Address - Country:US
Mailing Address - Phone:337-513-2803
Mailing Address - Fax:
Practice Address - Street 1:6442 CONCORD RD
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77708-4315
Practice Address - Country:US
Practice Address - Phone:409-347-8790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-26
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst