Brezinski, Brad Kenneth

Brezinski, Brad Kenneth is an individual health care provider with primary practice located at 1500 N Casaloma Dr Ste 306 , Appleton WI 54913-8220. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Brezinski, Brad Kenneth can be contacted via phone (920) 205-0475.

Contact Information

Primary practice address
1500 N Casaloma Dr Ste 306 Appleton WI 54913-8220
Phone: (920) 205-0475
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1184263188
LBN Legal business name Brezinski, Brad Kenneth
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2019
Last updated Dec 23rd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184263188 NPPES
Other 1-19-38874 BEHAVIOR ANALYST CERTIFICATION BOARD

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