Brady Harmon
Behavior Technician in Modesto, CA. Individual provider (NPI-1).
NPI number1063266641
StatusActive
Last updated in NPPESApr 11, 2024
Details
- NPI
- 1063266641
- Entity type
- Individual (NPI-1)
- Name
- Brady Harmon
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2024
- Certification date
- Apr 11, 2024
- Last updated
- Apr 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2630 W Rumble RdModesto, CA 95350-0155
Phone 209-222-2378
Mailing address
2630 W Rumble RdModesto, CA 95350-0155
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