Provider Demographics
NPI:1265993612
Name:BRIERE, CHLOE KATHRYN
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:KATHRYN
Last Name:BRIERE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 ROBERT ST
Mailing Address - Street 2:
Mailing Address - City:HARRISVILLE
Mailing Address - State:RI
Mailing Address - Zip Code:02830-1007
Mailing Address - Country:US
Mailing Address - Phone:401-678-0137
Mailing Address - Fax:
Practice Address - Street 1:10 ROBERT ST
Practice Address - Street 2:
Practice Address - City:HARRISVILLE
Practice Address - State:RI
Practice Address - Zip Code:02830-1007
Practice Address - Country:US
Practice Address - Phone:401-678-0137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-28
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician