Provider Demographics
NPI:1881981413
Name:O'MALLEY, BRIGHID MARGUERITE (BS, BCABA)
Entity type:Individual
Prefix:
First Name:BRIGHID
Middle Name:MARGUERITE
Last Name:O'MALLEY
Suffix:
Gender:F
Credentials:BS, BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:912 N ROYER ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-2935
Mailing Address - Country:US
Mailing Address - Phone:402-201-4941
Mailing Address - Fax:
Practice Address - Street 1:611 N WEBER ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-1032
Practice Address - Country:US
Practice Address - Phone:402-201-4941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-04
Last Update Date:2011-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst