Individual
EMILY GRACE BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
203 E SAPP ST, WILCOX, NE 68982-2502
(308) 830-0642
Mailing address
1649 61ST ST, BROOKLYN, NY 11204-2746
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1389149
NE
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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