Individual
BRANDI-SYMONE TAYLOR MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1756 SEA LARK LN, NAVARRE, FL 32566-7406
(850) 362-6824
Mailing address
PO BOX 259, SHALIMAR, FL 32579-0259
(850) 362-6824
(850) 362-6826
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-79111
FL
106E00000X
Assistant Behavior Analyst
0-23-14476
IN
106S00000X
Behavior Technician
17-39510
—
Other
Enumeration date
04/25/2018
Last updated
02/27/2025
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