=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821901844
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BRIANNA BARTON
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/23/2026
-----------------------------------------------------
Last Update Date | 09/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2504 RAEFORD RD STE 201
-----------------------------------------------------
City | FAYETTEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28305-5135
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-916-3261
-----------------------------------------------------
Fax | 910-600-5090
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 124 ISLAND GROVE RD
-----------------------------------------------------
City | MAXTON
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28364-7836
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-416-1238
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106S00000X
-----------------------------------------------------
Taxonomy Name | Behavior Technician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------