Brandon Knickerbocker
NPI #1235873399 in Bridgeport, Michigan
Provider Information
- NPI Number
- 1235873399
- Entity Type
- Individual
- Name
- Brandon Knickerbocker
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Apr 25, 2022
- Last Updated
- Apr 25, 2022
Practice Location
- Address
- 6296 VILLAGE SQUARE DRIVE
- Address 2
- SUITE 2
- City
- Bridgeport
- State
- Michigan
- ZIP Code
- 48722
- Phone
- (989) 401-1239
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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