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NPI Code Detail

MEDICARE: TAYLOR RENAE BRANT

MEDICARE: TAYLOR RENAE BRANT
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 : 1780338806
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR RENAE BRANT
Provider Business Mailing Address
First Line : 2733 E 12TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-4669
Country : US
Telephone Number : 833-455-8622
Fax Number :
Provider Business Practice Location Address
First Line : 2733 E 12TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-4669
Country : US
Telephone Number : 833-455-8622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2022
Last Update Date : 03/19/2026

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Directions to “ TAYLOR RENAE BRANT ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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