Provider Demographics
NPI:1992188866
Name:FARLEY, BRITTNEY (BCBA-D)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:FARLEY
Suffix:
Gender:F
Credentials:BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9917 W ANTIETAM ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83709-3405
Mailing Address - Country:US
Mailing Address - Phone:850-797-8280
Mailing Address - Fax:208-600-6055
Practice Address - Street 1:9917 W ANTIETAM ST
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83709-3405
Practice Address - Country:US
Practice Address - Phone:850-797-8280
Practice Address - Fax:208-600-6055
Is Sole Proprietor?:No
Enumeration Date:2015-07-09
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11518965103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst