Provider Demographics
NPI:1902613581
Name:FERRARO, BRIANNA MARIE (MA, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:MARIE
Last Name:FERRARO
Suffix:
Gender:F
Credentials:MA, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10701 BERTHOUND DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-4736
Mailing Address - Country:US
Mailing Address - Phone:786-491-9698
Mailing Address - Fax:
Practice Address - Street 1:5700 S MOPAC EXPY STE C310
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-1461
Practice Address - Country:US
Practice Address - Phone:512-458-0260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7727103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst