Provider Demographics
NPI:1730615576
Name:MABRY, BRITTNEY (BCBA)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:MABRY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:BRITTNEY
Other - Middle Name:
Other - Last Name:SEIDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7310 RITCHIE HWY
Mailing Address - Street 2:STE 200 #1116
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061
Mailing Address - Country:US
Mailing Address - Phone:443-345-8777
Mailing Address - Fax:
Practice Address - Street 1:12138 CENTRAL AVE STE 456
Practice Address - Street 2:
Practice Address - City:MITCHELLVILLE
Practice Address - State:MD
Practice Address - Zip Code:20721-1910
Practice Address - Country:US
Practice Address - Phone:855-832-6727
Practice Address - Fax:772-675-9100
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-18-29404103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst