Provider Demographics
NPI:1750733556
Name:HARVEY, BRIANNA (BCBA)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:HARVEY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111 155TH ST
Mailing Address - Street 2:
Mailing Address - City:ATALISSA
Mailing Address - State:IA
Mailing Address - Zip Code:52720-9751
Mailing Address - Country:US
Mailing Address - Phone:563-299-0886
Mailing Address - Fax:
Practice Address - Street 1:2111 155TH ST
Practice Address - Street 2:
Practice Address - City:ATALISSA
Practice Address - State:IA
Practice Address - Zip Code:52720
Practice Address - Country:US
Practice Address - Phone:563-299-0886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-06
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst