Individual provider · Type 1 NPI

Grace Brandon

Specialist · Moorhead, MN

NPI number 1578445938 Active

Practice location

1505 30th Ave S
Moorhead, MN 56560-5149

Mailing address

1547 30th Ave S
Moorhead, MN 56560-5149

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1578445938

Grace Brandon's National Provider Identifier is 1578445938, issued on Jul 24, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Moorhead, MN. The record was last updated on Jul 24, 2025.