MS. Nicole Michelle Brunner

NPI #1578165577 in Monmouth, Oregon

Provider Information

NPI Number: 1578165577
Entity Type: Individual
Name: MS. Nicole Michelle Brunner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 13, 2020
Last Updated: Nov 13, 2020

Practice Location

Address: 425 HIGH ST N
City: Monmouth
State: Oregon
ZIP Code: 97361-1217
Phone: (209) 640-2566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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