NPI 1326699646 · live from the CMS NPI Registry
Marissa Ann Brandon, BCBA
Behavior Analyst in Georgetown, KY. National Provider Identifier 1326699646, active.
NPI record
| NPI | 1326699646 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 105 Windsor Path Ste 1, Georgetown, KY 40324 |
| Practice phone | 859-360-3006 |
| Mailing address | 103 Windsor Path Ste 2, Georgetown, KY 40324 |
| Enumerated | September 27, 2019 |
| Last updated | September 3, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 279522 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.