Individual provider · Type 1 NPI

Brandall Buck Buckles Jr.

Rehabilitation Practitioner · San Diego, CA

NPI number 1902440274 Active

Practice location

8787 Complex Dr Ste 300
San Diego, CA 92123-1453

Call (619) 797-1090 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XF7915732 (CA)
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1902440274

Brandall Buck Buckles Jr.'s National Provider Identifier is 1902440274, issued on Oct 30, 2019. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Diego, CA. The record was last updated on Aug 17, 2026.