Individual
MICHAEL BRUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3150 W SAHARA AVE, B 21, LAS VEGAS, NV 89102-6002
(602) 358-4586
Mailing address
PO BOX 30635, LAS VEGAS, NV 89173-0635
(602) 358-4586
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/18/2011
Last updated
03/22/2016
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