MEDICARE: BRIYA STEVENSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician
2	104100000X	Social Worker	LG200004510	DC

General Provider Information

NPI Number	:	1104573864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIYA STEVENSON

Provider Business Mailing Address
First Line	:	2000 TOWER OAKS BLVD FL 5
Second Line	:
City	:	ROCKVILLE
State	:	MD
Zip	:	20852-4282
Country	:	US
Telephone Number	:	301-444-5001
Fax Number	:

Provider Business Practice Location Address
First Line	:	4400 MACARTHUR BLVD NW STE 300
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20007-2521
Country	:	US
Telephone Number	:	202-747-6665
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2022
Last Update Date	:	01/13/2026

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Directions to “ BRIYA STEVENSON ” Practice Location

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