Provider Demographics
NPI:1285221713
Name:LAGIER, BRITTANY JC (BCBA)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:JC
Last Name:LAGIER
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 1:1692 S FM 2184
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:TX
Mailing Address - Zip Code:76569-4000
Mailing Address - Country:US
Mailing Address - Phone:808-341-8617
Mailing Address - Fax:
Practice Address - Street 1:1692 S FM 2184
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:TX
Practice Address - Zip Code:76569-4000
Practice Address - Country:US
Practice Address - Phone:808-341-8617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-20-42291103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst