Long, Brandie

Long, Brandie is an sole proprietor health care provider with primary practice located at 3008 W Willow Knolls Dr Ste C , Peoria IL 61614-1095. She recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Chiropractic Providers / Chiropractor is her primary health care specialty. Long, Brandie can be contacted via phone (309) 656-5664.

Contact Information

Primary practice address
3008 W Willow Knolls Dr Ste C Peoria IL 61614-1095
Phone: (309) 656-5664
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038012626 Illinois
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Illinois
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-26-89910 Illinois

Profile Details

NPI number 1356849772
LBN Legal business name Long, Brandie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2018
Last updated May 27th, 2026 - about 5 months 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 1356849772 NPPES
Illinois Other 1001001001 DONT HAVE

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