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Individual
BRANDON DEON VERCNOCKE
Active
Individual
BRANDON DEON VERCNOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCAT, RBT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
00002178
WA
106S00000X
Behavior Technician
16-26862
WA
Other
Enumeration date
04/26/2017
Last updated
02/06/2018
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