Brendan M Gard MS, BCBA

NPI 1285978171 - Behavioral Analyst - 103K00000X

NPI Details
NPI 1285978171
Gender Male
Enumeration Date 11/16/2012
Last Updated 11/07/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
121 MARIAN WAY
PISMO BEACH CA, 93449-3228, US
Phone (805) 264-1394
Fax
Business Location
121 MARIAN WAY
PISMO BEACH CA, 93449-3228, US
Phone
Fax
Toxanomy
Taxonomy Code 103K00000X
License State California
License Number 1-12-11842
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According to our database, Brendan M Gard MS, BCBA NPI is 1285978171, taxonomy code is 103K00000X and license number is 1-12-11842, license state is located at California. Brendan M Gard MS, BCBA physically located at 121 Marian Way, Pismo Beach CA, 93449-3228. NPI Number Brendan M Gard MS, BCBA has the Individual type.

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1285978171 NPI number is provided on an as is basis without warranty of any kind. 1285978171 is maintained by the National Plan & Provider Enumeration System. The contents of Brendan M Gard MS, BCBA are for informational purposes only.