Healthcare Provider Details

I. General information

NPI: 1326962176
Provider Name (Legal Business Name): BRAEDEN JON PFAU ED.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 SW AUBURN RD
TOPEKA KS
66614-4843
US

IV. Provider business mailing address

3417 SW 37TH ST
TOPEKA KS
66614-3588
US

V. Phone/Fax

Practice location:
  • Phone: 785-408-8400
  • Fax:
Mailing address:
  • Phone: 785-249-4386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number4187496262
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: