Marissa Ann Brandon, BCBA Valid NPI
Individual provider · Behavior Analyst · Georgetown, KY
- NPI
- 1326699646
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Analyst
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103K00000X
- License number
- 279522 (KY)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2019-09-27
- Last updated
- 2024-09-03
Practice location
105 Windsor Path Ste 1
Georgetown, KY 40324-9819
(859) 360-3006