Brandon C Zywicki
Behavior Technician in Rochester, MN. Individual provider (NPI-1).
NPI number1366074510
StatusActive
Last updated in NPPESFeb 6, 2020
Details
- NPI
- 1366074510
- Entity type
- Individual (NPI-1)
- Name
- Brandon C Zywicki
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 6, 2020
- Certification date
- Feb 6, 2020
- Last updated
- Feb 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2376 18th Ave SeRochester, MN 55904-5834
Phone 507-993-9686
Mailing address
2376 18th Ave SeRochester, MN 55904-5834
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