Krystal Brunelle

NPI #1679175418 in Fredericktown, Missouri

Provider Information

NPI Number: 1679175418
Entity Type: Individual
Name: Krystal Brunelle
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Assistant Behavior Analyst
Enumeration Date: Nov 16, 2020
Last Updated: Nov 16, 2020

Practice Location

Address: 8319 HIGHWAY T
City: Fredericktown
State: Missouri
ZIP Code: 63645-9234
Phone: (573) 315-0541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assistant Behavior Analyst	106E00000X	Primary

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