Brandon Ide
Brandon Ide is a Behavior Technician in Benton Harbor, Michigan. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1651 E Nickerson AveBenton Harbor, MI 49022-2469
Phone: (269) 876-5697
Fax: (269) 359-3730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1720867419 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 22, 2023 |
| Last updated in NPPES | September 22, 2023 |
| Certification date | September 22, 2023 |
| Mailing address | 1651 E Nickerson Ave, Benton Harbor, MI 49022-2469 |
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