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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRANDON HERSCOVITCH, PH.D., BCBA-D

Active

DR. BRANDON HERSCOVITCH, PH.D., BCBA-D is a Behavior Analyst healthcare provider located in KIRKSVILLE, Missouri. NPI 1104120906 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · KIRKSVILLE, MO

Registration Details

NPI Number
1104120906
Provider Type
Individual
Gender
Male
NPI Issued
Jan 7, 2011 (15.581670037518 yrs)
Last Updated
Sep 21, 2022
Licenses
2022036699 (MO)
51 (MA)
1-06-3079

Practice Information

Address
715 S HALLIBURTON ST
KIRKSVILLE, MO, 635014156
Browse MO providers · Browse ZIP 63501
Phone
9788061455
Primary Specialty
Behavior Analyst
103K00000X
Additional Specialty
Behavior Analyst
Additional Specialty
Behavior Analyst

Other Behavior Analyst Providers in KIRKSVILLE, MO

Name Credential NPI
DR. MARYELLEN KOCH JENSEN DC, MSED, BCBA, LBA 1619191574
JAIMEE MILLER BCBA 1740703701
MCKENZIE GUNTER 1114519147
DARIEN ELIZABETH COMEAUX 1497331979
MOSSAB ALZHRANI 1720795792
EMILY ANN JENNINGS MSED, BCBA 1861241598
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.