Provider Demographics
NPI:1639753643
Name:SCOTT, BRITTANY (MED, BCBA)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 SENOIA RD STE A
Mailing Address - Street 2:
Mailing Address - City:TYRONE
Mailing Address - State:GA
Mailing Address - Zip Code:30290-1625
Mailing Address - Country:US
Mailing Address - Phone:678-629-4660
Mailing Address - Fax:
Practice Address - Street 1:120 HANDLEY RD STE 410
Practice Address - Street 2:
Practice Address - City:TYRONE
Practice Address - State:GA
Practice Address - Zip Code:30290-2174
Practice Address - Country:US
Practice Address - Phone:678-629-4660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-06
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA12259148103K00000X
GARBT-20-125377106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician