Most Relevant Information
Provider Data
| NPI Number: | 1003507989 |
| Provider Name: | BRANDY C MOODY |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/19/2023 |
| Last Updated: | 05/19/2023 |
Provider Practice Location
3335 M ST
MERCED
CA
953482714
Practice Location Phone/Fax
| Phone: | 9167293098 |
| Fax: |
Provider Mailing Location
3335 M ST
MERCED
CA
953482714
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |