Individual
BRANDON ALAN RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., BCBA
Contact information
Practice address
124 WATERTOWN ST, 3H, WATERTOWN, MA 02472-2576
(617) 276-5367
Mailing address
464 COMMON ST, SUITE 106, BELMONT, MA 02478-2704
(617) 276-5367
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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