Individual
BRANDON PUDDEFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3841 HOPEVALE ST, FORT MYERS, FL 33905-7794
(239) 201-6763
Mailing address
3841 HOPEVALE ST, FORT MYERS, FL 33905-7794
(239) 201-6763
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-24-332334
FL
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
03/19/2024
Last updated
06/14/2025
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