Individual
BRANDON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2515 DOUBLE CHURCHES RD, COLUMBUS, GA 31909-2742
(706) 660-1144
Mailing address
2515 DOUBLE CHURCHES RD, COLUMBUS, GA 31909-2742
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-404040
GA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/26/2022
Last updated
01/09/2025
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