Provider Demographics
NPI:1598389322
Name:STREUTKER, BRITTANY ERIN (BCBA)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ERIN
Last Name:STREUTKER
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 1:12112 PETERSBURG RD
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47725-8355
Mailing Address - Country:US
Mailing Address - Phone:317-339-7649
Mailing Address - Fax:
Practice Address - Street 1:12112 PETERSBURG RD
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47725-8355
Practice Address - Country:US
Practice Address - Phone:317-339-7649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-08
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst