Healthcare Provider Details

I. General information

NPI: 1447146501
Provider Name (Legal Business Name): BRITTANY ANDERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 DANDELION DR
DENTON NC
27239-6687
US

IV. Provider business mailing address

121 DANDELION DR
DENTON NC
27239-6687
US

V. Phone/Fax

Practice location:
  • Phone: 704-589-1438
  • Fax:
Mailing address:
  • Phone: 704-589-1438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number26-518462
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: