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NPI Code Detail

MEDICARE: MISS BRIANNA JAYNE BETKER M.S. ED.,BCBA

MEDICARE: MISS BRIANNA JAYNE BETKER M.S. ED.,BCBA
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
1103K00000XBehavior Analyst1-20-42141

General Provider Information

NPI Number : 1578246948
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS BRIANNA JAYNE BETKER M.S. ED.,BCBA
Provider Business Mailing Address
First Line : 140 HOYT ST
Second Line :
City : DUNKIRK
State : NY
Zip : 14048-2855
Country : US
Telephone Number : 716-359-2174
Fax Number :
Provider Business Practice Location Address
First Line : 120 E BELLE ST
Second Line :
City : HENDERSON
State : NC
Zip : 27536-4502
Country : US
Telephone Number : 252-572-2933
Fax Number : 252-572-4745
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2023
Last Update Date : 08/10/2023

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