Healthcare Provider Details

I. General information

NPI: 1306314588
Provider Name (Legal Business Name): BRITTANY MARIE ROBERTS BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2018
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1612 HIGHWOODS BLVD
GREENSBORO NC
27410-2048
US

IV. Provider business mailing address

1612 HIGHWOODS BLVD
GREENSBORO NC
27410-2048
US

V. Phone/Fax

Practice location:
  • Phone: 336-792-4587
  • Fax:
Mailing address:
  • Phone: 336-792-4587
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-18-32579
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number204
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: