Individual
DR. BRANDIE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3008 W WILLOW KNOLLS DR STE C, PEORIA, IL 61614-1095
(309) 656-5664
Mailing address
8511 COUNTRY VIEW DR, MANITO, IL 61546-8619
(309) 678-0963
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-26-89910
IL
106S00000X
Behavior Technician
—
IL
111N00000X
Chiropractor
Primary
038012626
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001001001
DONT HAVE
IL
Enumeration date
01/31/2018
Last updated
05/27/2026
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