Individual
MARLENA BRANDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1243 EASTON RD STE 103, WARRINGTON, PA 18976-3801
(267) 217-3585
(267) 657-1341
Mailing address
4 NESHAMINY INTERPLEX DR STE 202, TREVOSE, PA 19053-6940
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
MA
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000023532
BMC
MA
01
—
042611055
TAX ID
MA
01
—
1004745
FALLON
MA
01
—
1303287
MBHP
MA
01
—
99618201
NETWORK HEALTH
MA
01
—
M18633
BCBS
MA
Enumeration date
06/02/2016
Last updated
10/26/2022
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