Healthcare Provider Details

I. General information

NPI: 1033824768
Provider Name (Legal Business Name): BRITTANY GADOURY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2023
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

583 DANIEL WEBSTER HWY STE B
MERRIMACK NH
03054-3578
US

IV. Provider business mailing address

583 DANIEL WEBSTER HWY STE B
MERRIMACK NH
03054-3578
US

V. Phone/Fax

Practice location:
  • Phone: 603-541-7958
  • Fax:
Mailing address:
  • Phone: 603-541-7958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-23-253054
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: