MEDICARE: BRIANNA WEAVER LBA

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	103K00000X	Behavior Analyst	307281	KY

General Provider Information

NPI Number	:	1235075896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANNA WEAVER LBA

Provider Business Mailing Address
First Line	:	PO BOX 1296
Second Line	:
City	:	WHITLEY CITY
State	:	KY
Zip	:	42653-1296
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 1296
Second Line	:
City	:	WHITLEY CITY
State	:	KY
Zip	:	42653-1296
Country	:	US
Telephone Number	:	606-310-3860
Fax Number	:

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

Provider Enumeration Date	:	04/27/2026
Last Update Date	:	04/27/2026

Similar Medicare Providers

1144645144 — MENTAL HEALTH KOKUA
Practice Location Address:

1296 HOOLI CIR , DUPLEX 11
PEARL CITY, HI
96782-1907

Practice Phone: 808-737-2523
Practice Fax:

1386051951 — MR. JOHN JOSEPH COYNE M.S., CCC-SLP
Practice Location Address:

1296 RHODES RD
JOHNSON CITY, NY
13790-4825

Practice Phone: 813-390-0668
Practice Fax:

1235592387 — ELENA Y NGUYEN MD
Practice Location Address:

1241 E HILLSDALE BLVD STE 220
FOSTER CITY, CA
94404-1296

Practice Phone: 650-288-1633
Practice Fax: 650-288-6933

1255846762 — APEX AMBULATORY SURGERY CENTER INC
Practice Location Address:

1241 E HILLSDALE BLVD STE 210
FOSTER CITY, CA
94404-1296

Practice Phone: 650-667-2322
Practice Fax:

1427870997 — ALEXANDRIA LOUISE MORGAN
Practice Location Address:

6018 NW 23RD ST APT 3
OKLAHOMA CITY, OK
73127-1296

Practice Phone: 405-723-6692
Practice Fax:

1407703606 — ALEXANDRA N DUNLAP
Practice Location Address:

15812 E 77TH PL
KANSAS CITY, MO
64139-1296

Practice Phone: 816-520-0761
Practice Fax:

Directions to “ BRIANNA WEAVER LBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.