Brandon Ide

Behavior Technician · Benton Harbor, MI

Individual Active NPI

NPI number 1720867419

Practice location

1651 E Nickerson Ave
Benton Harbor, MI 49022-2469
Phone
(269) 876-5697
Fax
(269) 359-3730

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NPI record

NPI
1720867419
Entity type
Individual (Type 1)
Enumeration date
September 22, 2023
Last updated
September 22, 2023
Certified
September 22, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

About Brandon Ide

Brandon Ide is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 1651 E Nickerson Ave, Benton Harbor, MI 49022-2469. The NPI number 1720867419 was assigned on September 22, 2023 and the record was last updated on September 22, 2023.

Frequently asked questions

What is the NPI number of Brandon Ide?

The NPI number is 1720867419.

What is the phone number of Brandon Ide?

The phone number listed for the practice location is (269) 876-5697.

Where is Brandon Ide located?

1651 E Nickerson Ave, Benton Harbor, MI 49022-2469.

What is the taxonomy code for Brandon Ide?

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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