MEDICARE: BRIANNA COFFIN LBS

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	BH003118	PA

General Provider Information

NPI Number	:	1245680784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANNA COFFIN LBS

Provider Business Mailing Address
First Line	:	12433 BALSTON RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19154-1907
Country	:	US
Telephone Number	:	215-429-5485
Fax Number	:

Provider Business Practice Location Address
First Line	:	12433 BALSTON RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19154-1907
Country	:	US
Telephone Number	:	215-429-5485
Fax Number	:

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

Provider Enumeration Date	:	06/15/2016
Last Update Date	:	06/15/2016

Similar Medicare Providers

1124081674 — ADDUS HEALTH CARE INC
Practice Location Address:

1907 S BROAD ST
PHILADELPHIA, PA
19148-2216

Practice Phone: 215-755-8580
Practice Fax: 855-893-0656

1023064425 — COTTMAN CHIROPRACTIC CENTER P.C.
Practice Location Address:

3002 HOLME AVE
PHILADELPHIA, PA
19136-1907

Practice Phone: 215-708-0657
Practice Fax: 215-708-0659

1245378231 — JOHN THOMAS HAINES
Practice Location Address:

1701 S 2ND ST
PHILADELPHIA, PA
19148-1907

Practice Phone: 215-389-4148
Practice Fax: 215-389-0296

1619187051 — DR. JOSE MANUEL MATEO-BERMUDEZ M.D.
Practice Location Address:

1900 JOHN F KENNEDY BLVD , APT 1907
PHILADELPHIA, PA
19103-1440

Practice Phone: 215-575-0730
Practice Fax:

1700102266 — METRO AMBULANCE AND TRANSPORTATION
Practice Location Address:

6301 GERMANTOWN AVE , STE 2
PHILADELPHIA, PA
19144-1907

Practice Phone: 215-991-9191
Practice Fax:

1679889455 — BUCKS FAMILY THERAPY CENTER
Practice Location Address:

6301 GERMANTOWN AVE
PHILADELPHIA, PA
19144-1907

Practice Phone: 215-322-6361
Practice Fax: 215-322-6362

Directions to “ BRIANNA COFFIN LBS” 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.