Individual
BRANDON LOGAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1045 FIR ST S APT 92, SALEM, OR 97302-4148
(503) 509-1188
Mailing address
1045 FIR ST S APT 92, 92, SALEM, OR 97302-4148
(503) 509-1188
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OR
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
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