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Individual
TIFFANY BRUNNER
Active
Individual
TIFFANY BRUNNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, BSL, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC0008072
PA
103K00000X
Behavior Analyst
BH000070
PA
Other
Enumeration date
03/26/2013
Last updated
02/26/2016
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