# ROBERT DAVID BRUMLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1700302726
- **Gender:** Man
- **Credential:** LAC \#5016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 5016 | LA | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 106S00000X | Behavior Technician | — | NULL | — |
| 106S00000X | Behavior Technician | — | — | — |

## Other

- **Enumeration date:** 08/22/2017
- **Last updated:** 10/23/2019