Dr. Brandon Herscovitch, PHD, BCBA-D
Behavior Analyst in Kirksville, Missouri
1104120906- Practice location
- 715 S Halliburton St, Kirksville, MO 63501-4156
- Phone
- 978-806-1455
- Fax
- —
- Last updated
- September 21, 2022
Brandon Herscovitch is a Behavior Analyst based in Kirksville, MO. Brandon Herscovitch practices in Kirksville, MO and has the professional credentials of PHD, BCBA-D. The NPI Number for Brandon Herscovitch is 1104120906 and holds a License No. 2022036699 (MO). The current practice location address for Brandon Herscovitch is 715 S Halliburton St, Kirksville, MO 63501-4156 and can be reached out via phone at 978-806-1455.
Provider Profile Details
- NPI Number
- 1104120906
- Provider Name
- Brandon Herscovitch
- Credential
- PHD, BCBA-D
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 715 S Halliburton St, Kirksville, MO 63501-4156
- Phone Number
- 978-806-1455
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 7, 2011
- Last Update Date
- September 21, 2022
- Certification Date
- September 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 715 S Halliburton St
Kirksville, MO 63501-4156 - City
- Kirksville
- State
- Missouri
- Zip
- 63501-4156
- Phone Number
- 978-806-1455
Provider Business Mailing Address Details
- Address
- 30 Shattuck RD Unit 2402
Andover, MA 01810-2475 - City
- Andover
- State
- MA
- Zip
- 01810-2475
- Phone Number
- 978-806-1455
License Information
- License Number (1)
- 2022036699
- License State (1)
- MO
- Taxonomy (1)
- Behavior Analyst · 103K00000X
- License Number (2)
- 51
- License State (2)
- MA
- Taxonomy (2)
- Behavior Analyst · 103K00000X
- License Number (3)
- 1-06-3079
- Taxonomy (3)
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Behavior Analysts near Kirksville, MO
View all Behavior Analysts in Kirksville →Frequently Asked Questions
What is the NPI number of Dr. Brandon Herscovitch, PHD, BCBA-D?
The NPI number of Dr. Brandon Herscovitch, PHD, BCBA-D is 1104120906. It was assigned on January 7, 2011 and is currently active in the NPPES registry.
What is the specialty of Dr. Brandon Herscovitch, PHD, BCBA-D?
Dr. Brandon Herscovitch, PHD, BCBA-D is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MO under license number 2022036699.
Where does Dr. Brandon Herscovitch, PHD, BCBA-D practice?
The practice location is 715 S Halliburton St, Kirksville, MO 63501-4156. The office can be reached at 978-806-1455 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104120906 directly on the NPPES registry website.