Individual
BRANDIE LYNN VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA, BA
Contact information
Practice address
1908 6TH ST, SACRAMENTO, CA 95811-7004
(916) 447-6336
Mailing address
1908 6TH ST, SACRAMENTO, CA 95811-7004
(916) 447-6336
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-09-3012
CA
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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