Provider Demographics
NPI:1326776568
Name:GILPATRICK, BRITTANY DAWN (RBT)
Entity Type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:DAWN
Last Name:GILPATRICK
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:533 WEST RD
Mailing Address - Street 2:
Mailing Address - City:RUSSELL SPRINGS
Mailing Address - State:KY
Mailing Address - Zip Code:42642-9421
Mailing Address - Country:US
Mailing Address - Phone:270-250-2614
Mailing Address - Fax:
Practice Address - Street 1:312 HURT ST UNIT C
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:KY
Practice Address - Zip Code:42728-2311
Practice Address - Country:US
Practice Address - Phone:270-250-5070
Practice Address - Fax:270-380-1711
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-14
Last Update Date:2022-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician