Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENDEN BRACK
ActiveBRENDEN BRACK is a Behavior Technician healthcare provider located in BLOOMINGTON, Illinois. NPI 1619711231 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1619711231
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2024 (2.1486541082969 yrs)
- Last Updated
- Jun 19, 2024
Practice Information
- Address
-
1015 S MERCER AVEBLOOMINGTON, IL, 617017107Browse IL providers · Browse ZIP 61701
- Phone
- 8442631613
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| SHAWN KATHLEEN PARKER | — | 1356005391 |
| LOIS ABIGAIL ZIMMERMAN | — | 1518621481 |
| TABITHA SUE MILLER | — | 1538827290 |
| ASHLEY MICHELLE WILLS | — | 1649930017 |
| JENNIFER LYNN BRADTKE | — | 1073274023 |
| ERIN HUDELSON | — | 1851043046 |
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.