Active NPIIndividual provider

Brandon Lalsie-Wildman

Behavior Technician in Egg Harbor Township, New Jersey

NPI Number1245982073
Practice location
407 Glenn Ave, Egg Harbor Township, NJ 08234-6109
Fax
—
Last updated
January 23, 2022

Brandon Lalsie-Wildman is a Behavior Technician based in Egg Harbor Township, NJ. Brandon Lalsie-Wildman practices in Egg Harbor Township, NJ. The NPI Number for Brandon Lalsie-Wildman is 1245982073. The current practice location address for Brandon Lalsie-Wildman is 407 Glenn Ave, Egg Harbor Township, NJ 08234-6109 and can be reached out via phone at 609-218-8664.

Provider Profile Details

NPI Number
1245982073
Provider Name
Brandon Lalsie-Wildman
Provider Entity Type
Individual
Gender
Male
Address
407 Glenn Ave, Egg Harbor Township, NJ 08234-6109
Phone Number
609-218-8664
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
January 23, 2022
Last Update Date
January 23, 2022
Certification Date
January 23, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
407 Glenn Ave
Egg Harbor Township, NJ 08234-6109
Zip
08234-6109
Phone Number
609-218-8664
Egg Harbor Township, NJ 08234Get directions →

Provider Business Mailing Address Details

Address
127 Wedgewood Dr
Egg Harbor Twp, NJ 08234-5268
City
Egg Harbor Twp
State
NJ
Zip
08234-5268

License Information

Taxonomy
Behavior Technician · 106S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Brandon Lalsie-Wildman?

The NPI number of Brandon Lalsie-Wildman is 1245982073. It was assigned on January 23, 2022 and is currently active in the NPPES registry.

What is the specialty of Brandon Lalsie-Wildman?

Brandon Lalsie-Wildman is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Brandon Lalsie-Wildman practice?

The practice location is 407 Glenn Ave, Egg Harbor Township, NJ 08234-6109. The office can be reached at 609-218-8664 (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 1245982073 directly on the NPPES registry website.

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