Molly Brustad, BCBA, LMSW

NPI #1013492321 in Cantonment, Florida

Provider Information

NPI Number: 1013492321
Entity Type: Individual
Name: Molly Brustad, BCBA, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA, LMSW
Enumeration Date: Oct 2, 2018
Last Updated: Aug 30, 2022

Practice Location

Address: 3771 STEFANI RD
City: Cantonment
State: Florida
ZIP Code: 32533-7795
Phone: (850) 607-6910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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