Brenden Mack

Behavior Technician · Lakeway, TX

Individual Active NPI

NPI number 1386274637

Practice location

107 Ranch Road 620 S
Lakeway, TX 78734-3942
Phone
(512) 717-4788
Fax
(512) 519-8742

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NPI record

NPI
1386274637
Entity type
Individual (Type 1)
Enumeration date
January 24, 2020
Last updated
January 24, 2020
Certified
January 24, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X 20-110438 TX

About Brenden Mack

Brenden Mack is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 107 Ranch Road 620 S, Lakeway, TX 78734-3942. The NPI number 1386274637 was assigned on January 24, 2020 and the record was last updated on January 24, 2020.

Brenden Mack lists a license in the registry: #20-110438 (TX) for Behavior Technician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brenden Mack?

The NPI number is 1386274637.

What is the phone number of Brenden Mack?

The phone number listed for the practice location is (512) 717-4788.

Where is Brenden Mack located?

107 Ranch Road 620 S, Lakeway, TX 78734-3942.

What is the taxonomy code for Brenden Mack?

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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