Healthcare Provider Details

I. General information

NPI: 1871958652
Provider Name (Legal Business Name): BRIANNA DOYLE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2015
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1759 W YOUNGS DITCH RD
BAY CITY MI
48708-9173
US

IV. Provider business mailing address

1759 W YOUNGS DITCH RD
BAY CITY MI
48708-9173
US

V. Phone/Fax

Practice location:
  • Phone: 989-209-3250
  • Fax:
Mailing address:
  • Phone: 899-209-3250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number7401001372
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: