Individual
BRANDON GAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12220 ROAD 36, MADERA, CA 93636-8405
(559) 346-7100
Mailing address
12220 ROAD 36, MADERA, CA 93636-8405
(559) 346-7100
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
CA
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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