Provider Demographics
NPI:1447936281
Name:DOYLEY, BRIANNA GABRIELLE I
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:GABRIELLE
Last Name:DOYLEY
Suffix:I
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 1:35 KENT ST
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06112-2129
Mailing Address - Country:US
Mailing Address - Phone:516-425-7164
Mailing Address - Fax:
Practice Address - Street 1:35 KENT ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06112-2129
Practice Address - Country:US
Practice Address - Phone:516-425-7164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician