Individual
BRANDON SANSUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
15000 COMMERCE PKWY STE C, MOUNT LAUREL, NJ 08054
(267) 453-0220
Mailing address
542 AMHERST ST STE B, NASHUA, NH 03063-1016
(561) 323-6593
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-63085
—
Other
Enumeration date
12/20/2022
Last updated
07/08/2025
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