Individual provider · NPI-1

Brittany Wray Bishop Drake, BCBA

Behavior Analyst · Charlotte, NC

NPI number1700219201

StatusActive

Last updated in NPPESJun 5, 2018

Details

NPI: 1700219201
Entity type: Individual (NPI-1)
Name: Brittany Wray Bishop Drake
Credential: BCBA
Sex: Female
Sole proprietor: No
Enumeration date: Aug 20, 2013
Last updated: Jun 5, 2018

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
103K00000X	Behavior Analyst	1-18-29355	NC	Yes
222Q00000X	Developmental Therapist	–	–

Practice location

2301 Crownpoint Executive Dr Ste E
Charlotte, NC 28227

Phone 704-708-8314 · Fax 704-708-8314

Mailing address

2301 Crownpoint Executive Dr Ste E
Charlotte, NC 28227-6725

Phone 704-708-8314 · Fax 704-708-8315

Other practice locations

4301 N Federal Hwy
Suite 2 South
Pompano Beach, FL 33064-6519

Phone 888-880-9270 · Fax 954-342-0273

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