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NPI Code Detail

MEDICARE: BRITTANY STEVENS

MEDICARE: BRITTANY STEVENS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst0133001850VA
2103K00000XBehavior AnalystVA

General Provider Information

NPI Number : 1639671712
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY STEVENS
Provider Business Mailing Address
First Line : 520 MALLARD POINT RD
Second Line :
City : WIRTZ
State : VA
Zip : 24184-3989
Country : US
Telephone Number : 980-785-1113
Fax Number : 980-785-1114
Provider Business Practice Location Address
First Line : 1138 2ND ST SW
Second Line :
City : ROANOKE
State : VA
Zip : 24016-4725
Country : US
Telephone Number : 980-785-1113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2018
Last Update Date : 04/01/2026

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Directions to “ BRITTANY STEVENS ” Practice Location

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