Healthcare Provider Details

I. General information

NPI: 1730672288
Provider Name (Legal Business Name): BRITTANY JOY BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2018
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 E WASHINGTON ST STE 300
PHOENIX AZ
85034-1908
US

IV. Provider business mailing address

4600 E WASHINGTON ST STE 300
PHOENIX AZ
85034-1908
US

V. Phone/Fax

Practice location:
  • Phone: 951-226-5057
  • Fax:
Mailing address:
  • Phone: 951-226-5057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-20-45091
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0134000216
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: