Individual
BRANDON NYGUAMY CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1035 CALHOUN ST, NEW ORLEANS, LA 70118-5913
(504) 308-3501
Mailing address
1035 CALHOUN ST, NEW ORLEANS, LA 70118-5913
(504) 308-3501
(504) 247-9125
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
02/10/2022
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