Individual
KIYOMI LABRISKA BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2219 CLINTON AVE W APT A, HUNTSVILLE, AL 35805-3056
(256) 414-5282
Mailing address
2219 CLINTON AVE W APT A, HUNTSVILLE, AL 35805-3056
(256) 414-5282
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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