Provider Demographics
NPI:1912606591
Name:HAMBLIN, BRITTANY KATHLEEN
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:KATHLEEN
Last Name:HAMBLIN
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 1:21 HUDSON ST
Mailing Address - Street 2:
Mailing Address - City:WARRENSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:12885-1203
Mailing Address - Country:US
Mailing Address - Phone:518-232-1757
Mailing Address - Fax:
Practice Address - Street 1:21 HUDSON ST
Practice Address - Street 2:
Practice Address - City:WARRENSBURG
Practice Address - State:NY
Practice Address - Zip Code:12885-1203
Practice Address - Country:US
Practice Address - Phone:518-232-1757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician