Brandon Knickerbocker

Behavior Technician · Bridgeport, MI

Individual Active NPI

NPI number 1235873399

Practice location

6296 Village Square Drive
Suite 2
Bridgeport, MI 48722
Phone
(989) 401-1239

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NPI record

NPI
1235873399
Entity type
Individual (Type 1)
Enumeration date
April 25, 2022
Last updated
April 25, 2022
Certified
April 9, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — MI

Mailing address

5039 Villa Linde Pkwy Ste 30
Flint, MI 48532-3450
Phone
(989) 401-2244

Other practice locations (1)

  • 5039 Villa Linde Parkway, Suite 30, Bridgeport, MI 48722 · (989) 401-1239

About Brandon Knickerbocker

Brandon Knickerbocker is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 6296 Village Square Drive, Suite 2, Bridgeport, MI 48722. The NPI number 1235873399 was assigned on April 25, 2022 and the record was last updated on April 25, 2022.

Frequently asked questions

What is the NPI number of Brandon Knickerbocker?

The NPI number is 1235873399.

What is the phone number of Brandon Knickerbocker?

The phone number listed for the practice location is (989) 401-1239.

Where is Brandon Knickerbocker located?

6296 Village Square Drive, Suite 2, Bridgeport, MI 48722.

What is the taxonomy code for Brandon Knickerbocker?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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