Most Relevant Information
Provider Data
| NPI Number: | 1003308644 |
| Provider Name: | BRANDON PAIGE RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/30/2018 |
| Last Updated: | 05/30/2018 |
Provider Practice Location
4085 HANCOCK BRIDGE PKWY UNIT 101
NORTH FORT MYERS
FL
33903
Practice Location Phone/Fax
| Phone: | 2396773767 |
| Fax: |
Provider Mailing Location
175 MIDDLE ST UNIT 1201
LAKE MARY
FL
327463625
Provider Mailing Phone/Fax
| Phone: | 8666100580 |
| Fax: | 8666100580 |