Provider Demographics
NPI:1073001855
Name:CALICO, BRITNEY M (BCBA)
Entity type:Individual
Prefix:
First Name:BRITNEY
Middle Name:M
Last Name:CALICO
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1960 MADISON ST STE J318
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-8063
Mailing Address - Country:US
Mailing Address - Phone:901-336-5911
Mailing Address - Fax:
Practice Address - Street 1:1960 MADISON ST STE J318
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-8063
Practice Address - Country:US
Practice Address - Phone:901-336-5911
Practice Address - Fax:615-845-4714
Is Sole Proprietor?:No
Enumeration Date:2018-04-26
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician