Brandon Jacob Daugherty
NPI #1083482731 in Rio Rancho, New Mexico
Provider Information
- NPI Number
- 1083482731
- Entity Type
- Individual
- Name
- Brandon Jacob Daugherty
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Dec 12, 2023
- Last Updated
- Dec 18, 2023
Practice Location
- Address
- 4210 MEADOWLARK LN SE
- City
- Rio Rancho
- State
- New Mexico
- ZIP Code
- 87124-1021
- Phone
- (505) 560-9355
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
| Case Manager/Care Coordinator |
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