MEDICARE: MRS. BRITTANY ANN SLONE

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
2	103K00000X	Behavior Analyst	1918	NC

General Provider Information

NPI Number	:	1396179792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRITTANY ANN SLONE

Provider Business Mailing Address
First Line	:	8301 FOX CHAPEL LN APT 628
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28270-2327
Country	:	US
Telephone Number	:	847-361-1988
Fax Number	:

Provider Business Practice Location Address
First Line	:	8301 FOX CHAPEL LN APT 628
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28270-2327
Country	:	US
Telephone Number	:	847-361-1988
Fax Number	:

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

Provider Enumeration Date	:	08/21/2013
Last Update Date	:	09/03/2024

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