Healthcare Provider Details

I. General information

NPI: 1790649325
Provider Name (Legal Business Name): BRANDEN LEIGH GAGE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2455 GEORGE WASHINGTON WAY APT H140
RICHLAND WA
99354-1738
US

IV. Provider business mailing address

2455 GEORGE WASHINGTON WAY APT H140
RICHLAND WA
99354-1738
US

V. Phone/Fax

Practice location:
  • Phone: 509-438-3328
  • Fax:
Mailing address:
  • Phone: 509-438-3328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: