Provider Demographics
NPI:1265823884
Name:SALLEE, BRITTEN
Entity Type:Individual
Prefix:
First Name:BRITTEN
Middle Name:
Last Name:SALLEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8344 LAUREL LAKES BLVD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:MD
Mailing Address - Zip Code:34419
Mailing Address - Country:US
Mailing Address - Phone:239-877-7734
Mailing Address - Fax:
Practice Address - Street 1:8344 LAUREL LAKES BLVD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-9792
Practice Address - Country:US
Practice Address - Phone:239-877-7734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-18
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst