Individual
BRANDON BULGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1343 BANYAN DRIVE, FALLBROOK, CA 92028
(760) 468-8455
Mailing address
5870 EL CAMINO REAL, STE 101, CARLSBAD, CA 92008
(760) 539-5818
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB648492
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BACB648492
—
CA
Enumeration date
01/18/2021
Last updated
01/18/2021
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