Individual
BRENDEN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA,RBT
Contact information
Practice address
1205 W MAIN ST, MARION, IL 62959-1137
(877) 467-3123
(618) 681-6824
Mailing address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 937-6483
(618) 937-1440
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-488914
IL
Other
Enumeration date
02/09/2024
Last updated
11/14/2025
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