Provider Demographics
NPI:1740695964
Name:FERANDO, BRITTANY LEIGH (ACDP)
Entity type:Individual
Prefix:MISS
First Name:BRITTANY
Middle Name:LEIGH
Last Name:FERANDO
Suffix:
Gender:F
Credentials:ACDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:205 HALLENE RD UNIT 102
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2451
Mailing Address - Country:US
Mailing Address - Phone:401-737-4788
Mailing Address - Fax:401-736-5299
Practice Address - Street 1:205 HALLENE RD UNIT 102
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-2451
Practice Address - Country:US
Practice Address - Phone:401-737-4788
Practice Address - Fax:401-736-5299
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-26
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICDP00553101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)