| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BROOKE CANADY | 1366157315 | 2023-01-13 |
Brooke Canady is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1366157315. Registration indicates Brooke Canady is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Brooke Canady |
| Practice Office Address | 475 S JOHN RODES BLVD MELBOURNE, FL US |
| Practice Office Telephone | 3212411170 |
| Practice Office Fax | 3212411171 |
| Mailing Address | 475 S JOHN RODES BLVD MELBOURNE, FL 329041093 US |
| Business Telephone | 3212411170 |
| Business Fax | 3212411171 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |
FL |