Provider Demographics
NPI:1740587096
Name:BURTON, BRITNEY NICOLE (PHD, BCBA)
Entity Type:Individual
Prefix:DR
First Name:BRITNEY
Middle Name:NICOLE
Last Name:BURTON
Suffix:
Gender:F
Credentials:PHD, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 CYPRESS CREEK DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35633-1707
Mailing Address - Country:US
Mailing Address - Phone:205-388-0226
Mailing Address - Fax:
Practice Address - Street 1:107 CYPRESS CREEK DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35633-1707
Practice Address - Country:US
Practice Address - Phone:205-388-0226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-23
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-10-7821103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst