Provider Demographics
NPI:1003245069
Name:PRESCOTT, BRIANNE (BCBA)
Entity type:Individual
Prefix:
First Name:BRIANNE
Middle Name:
Last Name:PRESCOTT
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11018 MOORPARK ST APT 110
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91602-3406
Mailing Address - Country:US
Mailing Address - Phone:713-634-8348
Mailing Address - Fax:
Practice Address - Street 1:1118 FM 2977 RD STE B
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-7488
Practice Address - Country:US
Practice Address - Phone:713-505-9304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-10
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-13-14682103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst