Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandon Knickerbocker

Individual provider Behavior Technician · NPI 1235873399

Brandon Knickerbocker is a Behavior Technician in Bridgeport, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2022

Practice location Address checks out

6296 Village Square Dr Ste 2
Bridgeport, MI 48722
Phone: (989) 401-1239
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5039 Villa Linde Parkway, Bridgeport, MI 48722 — (989) 401-1239

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MI)

Record details

NPI number1235873399
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 25, 2022
Last updated in NPPESApril 25, 2022
Certification dateApril 9, 2022
Mailing address5039 Villa Linde Pkwy Ste 30, Flint, MI 48532-3450

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