Provider Demographics
NPI:1003354937
Name:PAGANO, MS, BCBA, BRITTANY (MS, BCBA)
Entity Type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:
Last Name:PAGANO, MS, BCBA
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21308 PROVIDENCIA ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-3223
Mailing Address - Country:US
Mailing Address - Phone:516-903-2838
Mailing Address - Fax:
Practice Address - Street 1:21308 PROVIDENCIA ST
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-3223
Practice Address - Country:US
Practice Address - Phone:516-903-2838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-11
Last Update Date:2017-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CABACB224604103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst