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Individual
REBECCA ANNE BRUNNER
Active
Individual
REBECCA ANNE BRUNNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001875
VA
106S00000X
Behavior Technician
RBT-19-93360
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396351193
ABA
VA
Enumeration date
07/23/2019
Last updated
12/15/2022
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