Individual
MRS. VALERIE MICHELLE BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
101 S DUBOIS ST, TALLASSEE, AL 36078-1405
(334) 225-0025
(334) 252-1282
Mailing address
PO BOX 780639, TALLASSEE, AL 36078-0007
(334) 225-0025
(334) 252-1282
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-05-2150
AL
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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