Provider Demographics
NPI:1639610363
Name:HOILIEN, BRANDON (BCBA, M ED)
Entity Type:Individual
Prefix:
First Name:BRANDON
Middle Name:
Last Name:HOILIEN
Suffix:
Gender:M
Credentials:BCBA, M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2386 ROBIN RD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-4567
Mailing Address - Country:US
Mailing Address - Phone:704-638-9020
Mailing Address - Fax:
Practice Address - Street 1:2386 ROBIN RD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-4567
Practice Address - Country:US
Practice Address - Phone:704-638-9020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-14
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
247200000X
NC1-21-55198103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other