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Brandi Randles
NPI 1174169262 · on the registry since 2019 · sole proprietor
Practice
- Address
- 6471 N Cornwall St
Coeur D Alene, ID 83815 - Phone
- (509) 939-7862
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-11-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho