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NPI Code Detail

MEDICARE: BRIEANNA BRICHETTO

MEDICARE: BRIEANNA BRICHETTO
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
1106S00000XBehavior TechnicianRBT-24-382216TX

General Provider Information

NPI Number : 1235941642
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIEANNA BRICHETTO
Provider Business Mailing Address
First Line : 5332 DOVE CREEK DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-4569
Country : US
Telephone Number : 682-429-5625
Fax Number :
Provider Business Practice Location Address
First Line : 4917 GOLDEN TRIANGLE BLVD STE 421
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-4673
Country : US
Telephone Number : 817-754-4938
Fax Number : 817-717-8584
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2025
Last Update Date : 01/22/2025

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Directions to “ BRIEANNA BRICHETTO ” Practice Location

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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.

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