Individual
MR. BRANDON ELLLIS MCCORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., BCBA
Contact information
Practice address
6132 AINSWORTH ST, BARTLETT, TN 38134-3576
(901) 497-0384
(866) 823-6014
Mailing address
12482 MAGNOLIA BEND DR, ARLINGTON, TN 38002-7046
(901) 497-0384
(866) 823-6014
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00884
—
TN
Enumeration date
11/18/2007
Last updated
12/02/2011
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