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General NPI Number Information
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NPI Number | 1831056225
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Entity Type | Individual
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Provider Name | BRANDON MINTZ
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Gender | Male
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 10770 COLUMBIA PIKE STE 300
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City | SILVER SPRING
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State | MD
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Zip | 20901-4439
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Country | US
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Telephone | 855-295-3276
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Fax | 888-588-2752
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Provider Business Mailing Address
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Address Line | 1333 S MAYFLOWER AVE STE 220
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City | MONROVIA
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State | CA
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Zip | 91016-5239
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Country | US
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Telephone | 818-241-6780
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Fax | 888-588-2752
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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 |
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License Number State | MD
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