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

Mr. Brandon Shea Mixon

Individual provider Behavior Technician · NPI 1215571906

Mr. Brandon Shea Mixon is a Behavior Technician in Rancho Cucamonga, California. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

10730 Church St Apt 266
Rancho Cucamonga, CA 91730-6652
Phone: (909) 465-3151
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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 number1215571906
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 5, 2019
Last updated in NPPESNovember 5, 2019

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