Individual
JENELLE BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
405 S WASHINGTON ST, ABERDEEN, SD 57401-4348
(605) 262-2162
Mailing address
1105 W RUSSELL ST, SIOUX FALLS, SD 57104-1322
(605) 271-2690
(605) 271-3956
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-153754
SD
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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