Individual
BRANDON DEON VERCNOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCAT, RBT
Contact information
Practice address
9901 NE 7TH AVE, VANCOUVER, WA 98685-4523
(360) 571-2432
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
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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