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Individual

BRIANNA LAUREN MATHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., BCBA

Contact information

Practice address
11635 NORTHPARK DR STE 100, WAKE FOREST, NC 27587-9350
(984) 200-7143
Mailing address
11635 NORTHPARK DR STE 100, WAKE FOREST, NC 27587-9350

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-66016
FL
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician
RBT-18-49390
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019102000
FL
Enumeration date
02/20/2018
Last updated
07/06/2026
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