NPI 1629563143

Dylan Bramel, RBT

Practitioner Assistant Behavior Analyst Madison, WI

Practice location

Address: 3113 W Beltline Hwy STE 300, Madison, WI 53713-2934
Phone: (608) 819-6810
Fax: (608) 819-6811
Mailing address: 1161 Lake Cook Rd, Deerfield, IL 60015-5649

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence 0-17-8420 (WI)

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Registry record

NPI: 1629563143
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jun 2018
Record last updated: 27 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.