Individual
BRANDON EASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1297 PROFESSIONAL DR STE 101B, MYRTLE BEACH, SC 29577-5713
(912) 600-1110
(888) 510-1019
Mailing address
1297 PROFESSIONAL DR STE 101B, MYRTLE BEACH, SC 29577-5713
(912) 600-1110
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
222Q00000X
Developmental Therapist
S26882443
MA
Other
Enumeration date
11/20/2014
Last updated
03/29/2022
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