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

Brandon Lalsie-Wildman

Individual provider Behavior Technician · NPI 1245982073

Brandon Lalsie-Wildman is a Behavior Technician in Egg Harbor Township, New Jersey. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

407 Glenn Ave
Egg Harbor Township, NJ 08234-6109
Phone: (609) 218-8664
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1245982073
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 23, 2022
Last updated in NPPESJanuary 23, 2022
Certification dateJanuary 23, 2022

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