Individual
BRANDON TISDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
135 HALTON VILLAGE CIR, GREENVILLE, SC 29607-6825
(803) 335-0718
Mailing address
16255 VENTURA BLVD STE 900, ENCINO, CA 91436-2317
(801) 316-3564
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-424766
—
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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