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General NPI Number Information
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NPI Number | 1023928660
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Entity Type | Individual
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Provider Name | MR. BRANDON CHRISTOPHER PRESTON
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Gender | Male
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 1220 SHERWOOD PARK DR NE
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City | GAINESVILLE
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State | GA
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Zip | 30501-3445
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Country | US
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Telephone | 470-691-2800
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Fax | 470-691-1272
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Provider Business Mailing Address
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Address Line | 2508 LOIS CT
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City | LOGANVILLE
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State | GA
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Zip | 30052-9040
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Country | US
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Telephone | 678-296-9759
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 2806583
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License Number State | GA
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