Individual
BRYLIE ELISABETH BRUMBELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2906 GINNALA DR, LOVELAND, CO 80538-2700
(855) 824-5669
Mailing address
1200 CONCORD AVE, CONCORD, CA 94520-4915
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
11/19/2024
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