Johana Kashiwa Brakeley in Middlebury - Developmental - Behavioral Pediatrics

Johana Kashiwa Brakeley - NPI 1780786376

Johana Kashiwa Brakeley is a Developmental - Behavioral Pediatrics in Middlebury, Vermont. Johana Kashiwa Brakeley practices all healthcare services and medical treatments related to Developmental - Behavioral Pediatrics. The NPI Number for Johana Kashiwa Brakeley is 1780786376. The last update date is 2007-07-08.

Johana Kashiwa Brakeley's current location address is 5 South St, Middlebury, Vermont. You can contact this provider via phone number 8023882194 and fax number 8023881004. The mailing address for Johana Kashiwa Brakeley is 5 South St, Middlebury, Vermont. To know further, please read the information below!

Provider Profile Detail

Provider Name Johana Kashiwa Brakeley
Address 5 South St, Middlebury, Vermont
Phone Number 8023882194
Fax Number 8023881004
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1780786376
Provider Enumeration Date 2006-09-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5 South St
City Middlebury
State Vermont (VT)
Post Code 57531319
Phone Number 8023882194
Fax Number 8023881004

Provider's Primary Taxonomy Detail

Speciality Developmental - Behavioral Pediatrics
Taxonomy 2080P0006X
Licence No 420006226
Definition:
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy effort

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5148 VT --
26V004 VT MVP INSURANCE
481306 VT CIGNA INSURANCE
5148 VT BLUE CROSS & BLUE SHIELD

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FAQs about Johana Kashiwa Brakeley

What is the Johana Kashiwa Brakeley's 1780786376?

The Johana Kashiwa Brakeley's NPI (National Provider Identifier) Number is 1780786376. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Johana Kashiwa Brakeley is physically located?

The Johana Kashiwa Brakeley is situated at the following address: 5 South St, Middlebury, VT 57531319.

What is the area of specialization for Johana Kashiwa Brakeley, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Johana Kashiwa Brakeley is Developmental - Behavioral Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 2080P0006X.

On what date was the 1780786376 assigned to Johana Kashiwa Brakeley?

The Johana Kashiwa Brakeley was issued its 1780786376 on 2006-09-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Johana Kashiwa Brakeley last refreshed?

The information related to the Johana Kashiwa Brakeley, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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