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

Brenden Brack

Individual provider Behavior Technician · NPI 1619711231

Brenden Brack is a Behavior Technician in Bloomington, Illinois. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1015 S Mercer Ave
Bloomington, IL 61701-7107
Phone: (844) 263-1613
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 number1619711231
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 19, 2024
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024
Mailing address2550 N Hollywood Way Ste 301, Burbank, CA 91505-5025

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