Provider Demographics
NPI:1386188894
Name:BARRERA, BRIANNA M (BCBA)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:M
Last Name:BARRERA
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8762 LOUISIANA ST
Mailing Address - Street 2:SUITE J
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-7191
Mailing Address - Country:US
Mailing Address - Phone:219-472-0628
Mailing Address - Fax:219-750-9287
Practice Address - Street 1:2906 HIGHWAY AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IN
Practice Address - Zip Code:46322-1631
Practice Address - Country:US
Practice Address - Phone:219-513-8311
Practice Address - Fax:708-479-2112
Is Sole Proprietor?:No
Enumeration Date:2016-12-19
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1-16-23105103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst