Provider Demographics
NPI:1255792420
Name:PACHECO, BRITTANY (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:PACHECO
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 NORWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02905-3923
Mailing Address - Country:US
Mailing Address - Phone:401-921-1470
Mailing Address - Fax:401-921-1415
Practice Address - Street 1:178 NORWOOD AVE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02905-3923
Practice Address - Country:US
Practice Address - Phone:401-921-1470
Practice Address - Fax:401-921-1415
Is Sole Proprietor?:No
Enumeration Date:2016-03-15
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI00008103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst