NPI 1457616112 · live from the CMS NPI Registry
Brianna Nikole Andrie
Behavior Analyst in Chicago, IL. National Provider Identifier 1457616112, active.
NPI record
| NPI | 1457616112 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 4677 N Virginia Ave, 1n, Chicago, IL 60625 |
| Practice phone | 312-520-4657 |
| Mailing address | 775 W Diversey Pkwy Apt 3cw, Chicago, IL 60614 |
| Enumerated | July 9, 2012 |
| Last updated | July 9, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.