Provider Demographics
NPI:1952839656
Name:WESSELING, BRITTANY JEAN (RBT)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:JEAN
Last Name:WESSELING
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2265 FLIGHT ST
Mailing Address - Street 2:
Mailing Address - City:NORTH POLE
Mailing Address - State:AK
Mailing Address - Zip Code:99705-7574
Mailing Address - Country:US
Mailing Address - Phone:907-322-6546
Mailing Address - Fax:
Practice Address - Street 1:2265 FLIGHT ST
Practice Address - Street 2:
Practice Address - City:NORTH POLE
Practice Address - State:AK
Practice Address - Zip Code:99705-7574
Practice Address - Country:US
Practice Address - Phone:907-322-6546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician