1730509951 NPI number — MR. WILLIAM BRANDON KLEIN M.ED., BCBA, LABA

Table of content: MR. WILLIAM BRANDON KLEIN M.ED., BCBA, LABA (NPI 1730509951)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730509951 NPI number — MR. WILLIAM BRANDON KLEIN M.ED., BCBA, LABA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KLEIN
Provider First Name:
WILLIAM
Provider Middle Name:
BRANDON
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.ED., BCBA, LABA
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KLEIN
Provider Other First Name:
WILLIAM
Provider Other Middle Name:
BRANDON
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.ED., BCBA, LABA
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1730509951
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/26/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
143C WILLOWBROOK DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SALTILLO
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
38866-6896
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
662-205-0098
Provider Business Mailing Address Fax Number:
662-495-4079

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
143C WILLOWBROOK DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALTILLO
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
38866-6896
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
662-205-0098
Provider Business Practice Location Address Fax Number:
662-495-4079
Provider Enumeration Date:
04/27/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183700000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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