Provider Demographics
NPI:1588552954
Name:BRAHM, ANABELLE
Entity type:Individual
Prefix:
First Name:ANABELLE
Middle Name:
Last Name:BRAHM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 3 MILE RD
Mailing Address - Street 2:
Mailing Address - City:FRANKSVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53126-9611
Mailing Address - Country:US
Mailing Address - Phone:262-930-9795
Mailing Address - Fax:
Practice Address - Street 1:7600 3 MILE RD
Practice Address - Street 2:
Practice Address - City:FRANKSVILLE
Practice Address - State:WI
Practice Address - Zip Code:53126-9611
Practice Address - Country:US
Practice Address - Phone:262-930-9795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician