NPI 1073153847 · live from the CMS NPI Registry
Brittnie Lorraine Black, BCBA
Behavior Analyst in Woodruff, SC. National Provider Identifier 1073153847, active.
NPI record
| NPI | 1073153847 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 751 E. Georgia Street, Woodruff, SC 29388 |
| Practice phone | 864-476-7400 |
| Mailing address | 751 E. Georgia St., Woodruff, SC 29388 |
| Enumerated | January 9, 2020 |
| Last updated | October 9, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
| Assistant Behavior Analyst | 106E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.