Provider Demographics
NPI:1780023424
Name:SMITH, BRITNEY (BCBA)
Entity type:Individual
Prefix:
First Name:BRITNEY
Middle Name:
Last Name:SMITH
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 1:9470 ANNAPOLIS RD
Mailing Address - Street 2:SUITE 416
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3025
Mailing Address - Country:US
Mailing Address - Phone:301-577-4333
Mailing Address - Fax:301-577-5180
Practice Address - Street 1:1115 COLLEY AVE
Practice Address - Street 2:2A
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1642
Practice Address - Country:US
Practice Address - Phone:919-920-2758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-16
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist