MEDICARE: BRANDON CONERLY

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1952858284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDON CONERLY

Provider Business Mailing Address
First Line	:	12345 I 10 SERVICE RD APT 1422
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70128-4558
Country	:	US
Telephone Number	:	504-710-1694
Fax Number	:

Provider Business Practice Location Address
First Line	:	12345 I 10 SERVICE RD APT 1422
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70128-4558
Country	:	US
Telephone Number	:	504-710-1694
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2016
Last Update Date	:	04/14/2026

Similar Medicare Providers

1073508701 — SOMAN MARY WONG MD
Practice Location Address:

139 CENTRE ST , STE 809
NEW YORK, NY
10013-4558

Practice Phone: 212-349-5555
Practice Fax: 212-791-9598

1548469778 — MINGKE WANG M.D.
Practice Location Address:

139 CENTRE ST STE 818
NEW YORK, NY
10013-4558

Practice Phone: 646-590-6735
Practice Fax: 646-590-6737

1316239700 — EASTWEST MEDICINE SERVICE PC
Practice Location Address:

115 E 23RD ST FL 10
NEW YORK, NY
10010-4558

Practice Phone: 212-928-8383
Practice Fax:

1720327711 — MISS PARUL CHAUDHARY PT
Practice Location Address:

139 CENTRE ST STE 818
NEW YORK, NY
10013-4558

Practice Phone: 718-321-3600
Practice Fax: 718-321-3662

1518305028 — MS. JACQUELINE S ROSE
Practice Location Address:

139 CENTRE ST STE 824
NEW YORK, NY
10013-4558

Practice Phone: 646-450-7748
Practice Fax:

1366876815 — HEATHER LEIGH TATTERSALL MS, MPH, OTR/L
Practice Location Address:

1355 2ND AVE APT 3A
NEW YORK, NY
10021-4558

Practice Phone: 302-593-9424
Practice Fax:

Directions to “ BRANDON CONERLY ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.