Provider Demographics
NPI:1073302170
Name:BINGER, BRADEN
Entity type:Individual
Prefix:
First Name:BRADEN
Middle Name:
Last Name:BINGER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 OAK ST APT 4
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:MA
Mailing Address - Zip Code:01519-1589
Mailing Address - Country:US
Mailing Address - Phone:978-239-1303
Mailing Address - Fax:
Practice Address - Street 1:4 OAK ST APT 4
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:MA
Practice Address - Zip Code:01519-1589
Practice Address - Country:US
Practice Address - Phone:978-239-1303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician