IndividualActive
Brandon Herscovitch, PH.D., BCBA-D
NPI 1104120906 · Behavior Analyst · Kirksville, MO
Provider details
- NPI number
- 1104120906
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- PH.D., BCBA-D
- Sex
- Male
- Sole proprietor
- No
- License
- 2022036699 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
715 S Halliburton St
Kirksville, MO 63501-4156
Phone: (978) 806-1455
Street-level locationGet directions
Mailing address
30 Shattuck Rd Unit 2402
Andover, MA 01810-2475
Additional practice locations (1)
- 614 Hammond St Ste 3Chestnut Hill, MA 02467-2161Phone: (617) 505-6183Fax: (617) 505-6184
Registry dates
- Enumerated
- 2011-01-07
- Last updated
- 2022-09-21
- Certified
- 2022-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.