Provider Demographics
NPI:1134587199
Name:OCHS, BRIENNA TAYLOR
Entity type:Individual
Prefix:MS
First Name:BRIENNA
Middle Name:TAYLOR
Last Name:OCHS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4024 W 74TH ST
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-2943
Mailing Address - Country:US
Mailing Address - Phone:913-372-2361
Mailing Address - Fax:772-675-9100
Practice Address - Street 1:4024 W 74TH ST
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-2943
Practice Address - Country:US
Practice Address - Phone:913-372-2361
Practice Address - Fax:772-675-9100
Is Sole Proprietor?:No
Enumeration Date:2016-02-05
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-20-44712103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst