Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRAYDEN ERIC IMMEKUS
ActiveBRAYDEN ERIC IMMEKUS is a Behavior Technician healthcare provider located in TWENTYNINE PALMS, California. NPI 1871204842 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · TWENTYNINE PALMS, CA
Registration Details
- NPI Number
- 1871204842
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 9, 2022 (3.5011063332437 yrs)
- Last Updated
- Oct 4, 2023
- License
-
22-241528 (CA)
Practice Information
- Address
-
71566 FLORIDA DRTWENTYNINE PALMS, CA, 922774070Browse CA providers · Browse ZIP 92277
- Phone
- 3608239925
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in TWENTYNINE PALMS, CA
| Name | Credential | NPI |
|---|---|---|
| PAUL PORTIS | RBT | 1366090912 |
| MRS. ALYSSA MORGAN MARSH | — | 1881277051 |
| MRS. JESSICA A BURKE | — | 1366196958 |
| ALLEGRA DEANN ROBINSON | — | 1700518677 |
| HAYLIE C BARONE | BACHELORS | 1053011585 |
| TAMMY LYNN WESTON | — | 1013706407 |
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.