Brandon Irvin

NPI #1275017790 in Pedro, Ohio

Provider Information

NPI Number: 1275017790
Entity Type: Individual
Name: Brandon Irvin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Sep 20, 2018
Last Updated: Sep 28, 2018

Practice Location

Address: 115 PRIVATE ROAD 977
City: Pedro
State: Ohio
ZIP Code: 45659-8608
Phone: (740) 534-1386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X
Case Manager/Care Coordinator	171M00000X	Primary

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