Provider Demographics
NPI:1023983061
Name:TOLER, BRADEN J (BCBA)
Entity type:Individual
Prefix:
First Name:BRADEN
Middle Name:J
Last Name:TOLER
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 1:1019 VALLEY VIEW AVE APT B1
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-3516
Mailing Address - Country:US
Mailing Address - Phone:304-763-8222
Mailing Address - Fax:
Practice Address - Street 1:1019 VALLEY VIEW AVE APT B1
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-3516
Practice Address - Country:US
Practice Address - Phone:304-763-8222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-08
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty