Provider Demographics
NPI:1720889587
Name:DAILEY, BRANDON BRITT
Entity type:Individual
Prefix:MR
First Name:BRANDON
Middle Name:BRITT
Last Name:DAILEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:BRANDON
Other - Middle Name:BRITT
Other - Last Name:DAILEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 370763
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89137-0763
Mailing Address - Country:US
Mailing Address - Phone:702-240-8639
Mailing Address - Fax:
Practice Address - Street 1:8950 W TROPICANA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-8138
Practice Address - Country:US
Practice Address - Phone:702-240-8639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12119-M1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical