IndividualActive
Brandon Knickerbocker
NPI 1235873399 · Behavior Technician · Bridgeport, MI
Brandon Knickerbocker is a Behavior Technician provider in Bridgeport, MI (NPI 1235873399).
Provider details
- NPI number
- 1235873399
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% 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
6296 Village Square Drive
Suite 2
Bridgeport, MI 48722
Phone: (989) 401-1239
Street-level locationGet directions
Mailing address
5039 Villa Linde Pkwy Ste 30
Flint, MI 48532-3450
Additional practice locations (1)
- 5039 Villa Linde ParkwaySuite 30Bridgeport, MI 48722Phone: (989) 401-1239
Registry dates
- Enumerated
- 2022-04-25
- Last updated
- 2022-04-25
- Certified
- 2022-04-09
Frequently asked questions
- What is Brandon Knickerbocker's NPI number?
- Brandon Knickerbocker's National Provider Identifier (NPI) is 1235873399, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brandon Knickerbocker's specialty?
- Brandon Knickerbocker is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Brandon Knickerbocker located?
- Brandon Knickerbocker's practice location on file with NPPES is 6296 Village Square Drive, Bridgeport, MI 48722.
- What is Brandon Knickerbocker's phone number?
- The practice phone number listed in the NPPES registry for Brandon Knickerbocker is (989) 401-1239.
- Is Brandon Knickerbocker's NPI active?
- Yes — Brandon Knickerbocker's NPI (1235873399) is active in the NPPES registry as of the last update on 2022-04-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.