Provider Demographics
NPI:1366038234
Name:CONTRERAS, BRAYAN ARIEL (BS, MA, BCBA)
Entity type:Individual
Prefix:
First Name:BRAYAN
Middle Name:ARIEL
Last Name:CONTRERAS
Suffix:
Gender:M
Credentials:BS, MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 4TH ST N APT 140
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-3047
Mailing Address - Country:US
Mailing Address - Phone:571-839-8731
Mailing Address - Fax:
Practice Address - Street 1:1440 N ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-2814
Practice Address - Country:US
Practice Address - Phone:202-588-1112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-15
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC670487103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst