Individual
BRANDON HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
9518 9TH ST STE C-1, RANCHO CUCAMONGA, CA 91730-4568
(909) 443-9919
Mailing address
2557 KELBURN AVE, ROSEMEAD, CA 91770
(626) 623-0360
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69165
CA
Other
Enumeration date
03/17/2019
Last updated
11/06/2023
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