Individual
DR. BRANDON HERSCOVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., BCBA-D
Contact information
Practice address
715 S HALLIBURTON ST, KIRKSVILLE, MO 63501-4156
(978) 806-1455
Mailing address
30 SHATTUCK RD UNIT 2402, ANDOVER, MA 01810-2475
(978) 806-1455
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-06-3079
—
103K00000X
Behavior Analyst
2022036699
MO
103K00000X
Behavior Analyst
51
MA
Other
Enumeration date
01/07/2011
Last updated
09/21/2022
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