Provider Demographics
NPI:1912653296
Name:NEVES, BRIANNA (RBT)
Entity Type:Individual
Prefix:MRS
First Name:BRIANNA
Middle Name:
Last Name:NEVES
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:MS
Other - First Name:BRIANNA
Other - Middle Name:
Other - Last Name:HUBBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9422 COMEAU ST RM 1308
Mailing Address - Street 2:
Mailing Address - City:GOTHA
Mailing Address - State:FL
Mailing Address - Zip Code:34734-5059
Mailing Address - Country:US
Mailing Address - Phone:321-972-4039
Mailing Address - Fax:
Practice Address - Street 1:3200 S HIAWASSEE RD SUITE 203
Practice Address - Street 2:ROOM 1308
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835
Practice Address - Country:US
Practice Address - Phone:321-972-4039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-25
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician