IndividualActive
Brandon O'Brien
NPI 1376142802 · Registered Dietetic Technician · Lebanon, OH
Provider details
- NPI number
- 1376142802
- Entity type
- Individual
- Primary specialty
- Registered Dietetic TechnicianDietary & Nutritional Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 86089674 (OH)
Mailing address
9997 Carver Rd
Blue Ash, OH 45242-5537
Registry dates
- Enumerated
- 2020-10-26
- Last updated
- 2020-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.