Individual
BRANDON NELSON ICBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
39210 STATE ST, FREMONT, CA 94538-1456
(510) 399-7080
Mailing address
31397 CAPE VIEW DR, UNION CITY, CA 94587-5917
(510) 909-8975
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
Other
Enumeration date
09/30/2018
Last updated
09/30/2018
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