Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDON BLUE
ActiveBRANDON BLUE is a Behavior Technician healthcare provider located in GRAND RAPIDS, Michigan. NPI 1225625924 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1225625924
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 29, 2020 (5.6490194104319 yrs)
- Last Updated
- Dec 29, 2020
Practice Information
- Address
-
1776 WATERMARK DR SEGRAND RAPIDS, MI, 495466491Browse MI providers · Browse ZIP 49546
- Phone
- 6168265307
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| NICOLE SMITH | — | 1801584461 |
| TNAE BULLOCK | — | 1437561131 |
| MELINDA LEWIS | — | 1487036299 |
| MRS. REBEKAH WALS | — | 1942678750 |
| TAYLOR CLEM MAAS | MA | 1710357009 |
| JULIANNE KESSLER | — | 1245699503 |
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.