Individual
BRITTANY DE QUEIROZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
114 MEDICAL PARK DRIVE, PRATTVILLE, AL 36066
(334) 491-3020
(334) 356-8050
Mailing address
114 MEDICAL PARK DRIVE, PRATTVILLE, AL 36066
(334) 491-3020
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
2021-034
AL
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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