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NPI Code Detail

MEDICARE: BRITTNEY NICOLE WHITE M.ED. BCBA

MEDICARE:   BRITTNEY NICOLE WHITE  M.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 Analyst1-17-25947
2103K00000XBehavior Analyst1969TX

General Provider Information

NPI Number : 1679950885
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTNEY NICOLE WHITE M.ED. BCBA
Provider Business Mailing Address
First Line : 6025 SPORTS VILLAGE RD
Second Line :
City : FRISCO
State : TX
Zip : 75033-3505
Country : US
Telephone Number : 214-687-9374
Fax Number :
Provider Business Practice Location Address
First Line : 6025 SPORTS VILLAGE RD
Second Line :
City : FRISCO
State : TX
Zip : 75033-3505
Country : US
Telephone Number : 214-687-9374
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2015
Last Update Date : 08/04/2020

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Directions to “ BRITTNEY NICOLE WHITE M.ED. BCBA” Practice Location

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