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NPI Code Detail

MEDICARE: MR. BRANDON KIRCHNER

MEDICARE:  MR. BRANDON  KIRCHNER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1790137099
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRANDON KIRCHNER
Provider Business Mailing Address
First Line : 2200 S FORT APACHE RD UNIT 1233
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-5714
Country : US
Telephone Number : 702-459-7500
Fax Number : 702-333-4480
Provider Business Practice Location Address
First Line : 2200 S FORT APACHE RD UNIT 1233
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-5714
Country : US
Telephone Number : 702-459-7500
Fax Number : 702-333-4480
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2016
Last Update Date : 09/24/2016

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Directions to “ MR. BRANDON KIRCHNER ” Practice Location

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