Healthcare Provider Details

I. General information

NPI: 1740800093
Provider Name (Legal Business Name): BRIA GRAVES BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRIA DONOVAN BCBA

II. Dates (important events)

Enumeration Date: 04/16/2020
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2452 KUSER RD STE C
HAMILTON NJ
08690-3360
US

IV. Provider business mailing address

1605 DORIS ST
WALL TOWNSHIP NJ
07753-6917
US

V. Phone/Fax

Practice location:
  • Phone: 609-500-6686
  • Fax:
Mailing address:
  • Phone: 732-735-6402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-19-35740
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: