Provider Demographics
NPI:1578978672
Name:THURMAN, BRANDON (BCBA)
Entity Type:Individual
Prefix:MR
First Name:BRANDON
Middle Name:
Last Name:THURMAN
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2730 N STAGECOACH DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-3744
Mailing Address - Country:US
Mailing Address - Phone:479-276-4069
Mailing Address - Fax:
Practice Address - Street 1:2730 N STAGECOACH DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-3744
Practice Address - Country:US
Practice Address - Phone:479-276-4069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-26
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst