Provider Demographics
NPI:1972210375
Name:HALL, BRITTNEY (BCBA)
Entity type:Individual
Prefix:MRS
First Name:BRITTNEY
Middle Name:
Last Name:HALL
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 1:72 FAWN CT
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048-4288
Mailing Address - Country:US
Mailing Address - Phone:201-982-3983
Mailing Address - Fax:609-267-6253
Practice Address - Street 1:72 FAWN CT
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-4288
Practice Address - Country:US
Practice Address - Phone:201-982-3983
Practice Address - Fax:609-267-6253
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-04
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
12261348103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst