Individual
BRANDON ALEXANDER LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 RAY ST, PLEASANTON, CA 94566-6621
(925) 399-5796
Mailing address
5086 S FORESTDALE CIR, DUBLIN, CA 94568-8747
(925) 577-7142
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
CA
225XP0200X
Pediatric Occupational Therapist
Primary
22654
CA
Other
Enumeration date
03/01/2018
Last updated
09/28/2021
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