Individual
BRANDON JORDAN O'NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8398 MISSISSIPPI ST, MERRILLVILLE, IN 46410-6316
(219) 755-4049
Mailing address
8398 MISSISSIPPI ST, MERRILLVILLE, IN 46410-6316
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-333029
IN
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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