Provider Demographics
NPI:1922349067
Name:BARNHART, BRITTANY (BCBA)
Entity Type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:
Last Name:BARNHART
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:CLARK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:910 FOREST HILL RD
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80863-1222
Mailing Address - Country:US
Mailing Address - Phone:785-766-9633
Mailing Address - Fax:
Practice Address - Street 1:910 FOREST HILL RD
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:CO
Practice Address - Zip Code:80863-1222
Practice Address - Country:US
Practice Address - Phone:785-766-9633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-14
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0-13-5357103K00000X
CO1-16-23749103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst