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NPI Code Detail

MEDICARE: BRANDON THOMAS HOOKER

MEDICARE: BRANDON THOMAS HOOKER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1295491462
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDON THOMAS HOOKER
Provider Business Mailing Address
First Line : 2100 BROOKS DR APT 508
Second Line :
City : DISTRICT HEIGHTS
State : MD
Zip : 20747-1014
Country : US
Telephone Number : 240-716-0793
Fax Number :
Provider Business Practice Location Address
First Line : 4445 WILLARD AVE STE 600
Second Line :
City : CHEVY CHASE
State : MD
Zip : 20815-3786
Country : US
Telephone Number : 540-225-1020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2021
Last Update Date : 11/12/2021

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Directions to “ BRANDON THOMAS HOOKER ” Practice Location

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