Provider Demographics
NPI:1972926483
Name:FOLEY, BRIANA (MED, BCBA)
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:
Last Name:FOLEY
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 SQUIRE POPE RD
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29486-6990
Mailing Address - Country:US
Mailing Address - Phone:413-374-4033
Mailing Address - Fax:
Practice Address - Street 1:1180 SAM RITTENBERG BLVD STE 240
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-3388
Practice Address - Country:US
Practice Address - Phone:843-998-7736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-04
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist