Provider Demographics
NPI:1396295283
Name:BRITT, ASHLEY FAYE (MS, BCBA)
Entity type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:FAYE
Last Name:BRITT
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:194 EVERETT PL
Mailing Address - Street 2:
Mailing Address - City:EAST RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07073-1705
Mailing Address - Country:US
Mailing Address - Phone:908-670-2868
Mailing Address - Fax:
Practice Address - Street 1:38 RIVER EDGE RD
Practice Address - Street 2:
Practice Address - City:RIVER EDGE
Practice Address - State:NJ
Practice Address - Zip Code:07661-2442
Practice Address - Country:US
Practice Address - Phone:201-843-3274
Practice Address - Fax:201-483-7885
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-04
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-16-23876103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst