MEDICARE: BRITTNEY BUFFORD

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	247200000X	Other Technician
2	106S00000X	Behavior Technician	RBT-23-280580	MO

General Provider Information

NPI Number	:	1194277111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTNEY BUFFORD

Provider Business Mailing Address
First Line	:	41521 W 11 MILE RD
Second Line	:
City	:	NOVI
State	:	MI
Zip	:	48375-1803
Country	:	US
Telephone Number	:	248-299-0030
Fax Number	:

Provider Business Practice Location Address
First Line	:	2055 CRAIGSHIRE DR STE 410
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-4012
Country	:	US
Telephone Number	:	314-200-2140
Fax Number	:

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

Provider Enumeration Date	:	10/25/2016
Last Update Date	:	07/15/2025

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Directions to “ BRITTNEY BUFFORD ” Practice Location

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