Individual
BRANDON BRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
13333 NE BEL RED RD STE 100, BELLEVUE, WA 98005-2332
(425) 559-7807
Mailing address
13333 NE BEL RED RD STE 100, BELLEVUE, WA 98005-2332
(425) 559-7807
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
60930384
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-34299
BACB CERTIFICATION NUMBER
—
01
—
60930384
DEPARTMENT OF HEALTH: BEHAVIOR ANALYST LICENSE
WA
Enumeration date
04/05/2019
Last updated
04/05/2019
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