Individual
BRANDON MALIK WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2590 LAKEVIEW DR APT 4, EUGENE, OR 97408-4551
(541) 515-0997
Mailing address
2590 LAKEVIEW DR APT 4, EUGENE, OR 97408-4551
(541) 515-0997
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ABA-IN-10214211
OR
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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