Healthcare Provider Details

I. General information

NPI: 1477150860
Provider Name (Legal Business Name): BRITNY V BELCHER BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITNY BLANKENSHIP

II. Dates (important events)

Enumeration Date: 10/08/2020
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

891 OHARE PKWY STE 200
MEDFORD OR
97504-4005
US

IV. Provider business mailing address

891 OHARE PKWY STE 200
MEDFORD OR
97504-4005
US

V. Phone/Fax

Practice location:
  • Phone: 541-941-5171
  • Fax:
Mailing address:
  • Phone: 541-941-5171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberABA-B-10228481
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: