Individual
BRANDON NEHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14603 OLD YORK RD, PHOENIX, MD 21131-1441
(443) 750-1110
Mailing address
14603 OLD YORK RD, PHOENIX, MD 21131-1441
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11621510
MD
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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