Brandi R Randles
NPI #1174169262 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1174169262
- Entity Type
- Individual
- Name
- Brandi R Randles
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Nov 23, 2019
- Last Updated
- Nov 23, 2019
Practice Location
- Address
- 6471 N CORNWALL ST
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83815-5062
- Phone
- (509) 939-7862
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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