Brandon Boutvyseth
Brandon Boutvyseth is a Behavior Analyst in Fresno, California. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
5561 E Kings Canyon RdFresno, CA 93727-4528
Phone: (559) 255-0496
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Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X |
|---|
Record details
| NPI number | 1699499665 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 3, 2022 |
| Last updated in NPPES | October 3, 2022 |
| Certification date | October 3, 2022 |
| Mailing address | 2307 S Homsy Ave, Fresno, CA 93727-5276 |
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