Provider Demographics
NPI:1497050678
Name:MCKINNEY, BRIANA NICOLE
Entity Type:Individual
Prefix:MRS
First Name:BRIANA
Middle Name:NICOLE
Last Name:MCKINNEY
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 1:7080 ROUTT ST
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-1378
Mailing Address - Country:US
Mailing Address - Phone:216-926-9215
Mailing Address - Fax:
Practice Address - Street 1:7080 ROUTT ST
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-1378
Practice Address - Country:US
Practice Address - Phone:216-926-9215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-15-18384103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst