Provider Demographics
NPI:1588005011
Name:TOMMASI, BRITNI PAGE (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:BRITNI
Middle Name:PAGE
Last Name:TOMMASI
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 1:2912 WARREN AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-8862
Mailing Address - Country:US
Mailing Address - Phone:337-661-4041
Mailing Address - Fax:
Practice Address - Street 1:2912 WARREN AVE
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-8862
Practice Address - Country:US
Practice Address - Phone:337-661-4041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-12
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst