Healthcare Provider Details

I. General information

NPI: 1902514441
Provider Name (Legal Business Name): BRITNEY WOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2022
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 CLEVER RD STE 2
MC KEES ROCKS PA
15136-1068
US

IV. Provider business mailing address

535 CLEVER RD STE 2
MC KEES ROCKS PA
15136-1068
US

V. Phone/Fax

Practice location:
  • Phone: 412-475-9253
  • Fax:
Mailing address:
  • Phone: 412-475-9253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-441630
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: