Provider Demographics
NPI:1366242018
Name:DANSIE, BRANDON REX (SUDCI)
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:REX
Last Name:DANSIE
Suffix:
Gender:
Credentials:SUDCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:684 E 100 N
Mailing Address - Street 2:
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-2112
Mailing Address - Country:US
Mailing Address - Phone:801-381-3173
Mailing Address - Fax:
Practice Address - Street 1:8901 S 1300 W
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84088-9201
Practice Address - Country:US
Practice Address - Phone:385-371-4515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)