Individual
MR. BRANDON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7725 N 43RD AVE STE 711, PHOENIX, AZ 85051-5772
(602) 815-5128
Mailing address
7725 N 43RD AVE STE 711, PHOENIX, AZ 85051-5772
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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