Healthcare Provider Details

I. General information

NPI: 1730509951
Provider Name (Legal Business Name): WILLIAM BRANDON KLEIN M.ED., BCBA, LABA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: WILLIAM BRANDON KLEIN M.ED., BCBA, LABA

II. Dates (important events)

Enumeration Date: 04/27/2014
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 S SPRING ST
TUPELO MS
38804-4822
US

IV. Provider business mailing address

PO BOX 68
TUPELO MS
38802-0068
US

V. Phone/Fax

Practice location:
  • Phone: 662-205-0098
  • Fax: 662-495-4079
Mailing address:
  • Phone: 662-205-0098
  • Fax: 662-495-4079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: