Brandy Medendorp

Behavior Technician · Crown Point, IN

Individual Active NPI

NPI number 1932734977

Practice location

5281 Fountain Dr
Crown Point, IN 46307-1085
Phone
(844) 263-1613
Fax
(630) 359-3660

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NPI record

NPI
1932734977
Entity type
Individual (Type 1)
Enumeration date
March 10, 2020
Last updated
March 10, 2020
Certified
March 10, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

About Brandy Medendorp

Brandy Medendorp is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 5281 Fountain Dr, Crown Point, IN 46307-1085. The NPI number 1932734977 was assigned on March 10, 2020 and the record was last updated on March 10, 2020.

Frequently asked questions

What is the NPI number of Brandy Medendorp?

The NPI number is 1932734977.

What is the phone number of Brandy Medendorp?

The phone number listed for the practice location is (844) 263-1613.

Where is Brandy Medendorp located?

5281 Fountain Dr, Crown Point, IN 46307-1085.

What is the taxonomy code for Brandy Medendorp?

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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