Individual
LAUREN ADELE BROMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8930 CROSS PARK DR APT A, KNOXVILLE, TN 37923-4713
(865) 407-2083
Mailing address
8930 CROSS PARK DR APT A, KNOXVILLE, TN 37923-4713
(865) 407-2083
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-437249
TN
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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