Provider Demographics
NPI:1598000473
Name:RADER, BRITTANY (BCBA)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:RADER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:FREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:908 N WAYNE ST APT 104
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-5915
Mailing Address - Country:US
Mailing Address - Phone:703-963-1908
Mailing Address - Fax:
Practice Address - Street 1:608 SMALLWOOD RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-1917
Practice Address - Country:US
Practice Address - Phone:703-963-1908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-04
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133000069103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst