Individual
BRANDY M DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPRS, ST-C, STNA
Contact information
Practice address
573 MAJESTIC DR, DAYTON, OH 45417-8925
(513) 279-8222
Mailing address
8044 MONTGOMERY RD STE 120, CINCINNATI, OH 45236-2919
(513) 607-5128
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
OH
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
175T00000X
Peer Specialist
0001415
OH
374700000X
Technician
—
OH
3747P1801X
Personal Care Attendant
—
OH
374U00000X
Home Health Aide
—
OH
376K00000X
Nurse's Aide
400865580209
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000
—
OH
Enumeration date
05/28/2010
Last updated
07/31/2025
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