Provider Demographics
NPI:1033847678
Name:NUGENT, AUBRIANNA JANIECE (BT)
Entity Type:Individual
Prefix:
First Name:AUBRIANNA
Middle Name:JANIECE
Last Name:NUGENT
Suffix:
Gender:F
Credentials:BT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 CROSSROADS LOOP APT 310
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23693-5674
Mailing Address - Country:US
Mailing Address - Phone:917-991-2720
Mailing Address - Fax:
Practice Address - Street 1:100 CROSSROADS LOOP APT 310
Practice Address - Street 2:
Practice Address - City:YORKTOWN
Practice Address - State:VA
Practice Address - Zip Code:23693-5674
Practice Address - Country:US
Practice Address - Phone:757-525-2271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician