Provider Demographics
NPI:1184198111
Name:BRANDT-TRUMAN, MARIA (RBT)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:BRANDT-TRUMAN
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3015 NW 109TH AVE
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33322-1047
Mailing Address - Country:US
Mailing Address - Phone:754-366-4063
Mailing Address - Fax:
Practice Address - Street 1:3015 NW 109TH AVE
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33322-1047
Practice Address - Country:US
Practice Address - Phone:754-366-4063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-12
Last Update Date:2019-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst