Individual
AUBREANA BRUNGARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4710 EAGLERIDGE CIR STE 230, PUEBLO, CO 81008-2176
(719) 413-6369
(719) 434-9767
Mailing address
4710 EAGLERIDGE CIR STE 230, PUEBLO, CO 81008-2176
(719) 413-6369
(719) 434-9767
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-24-7341
CO
106S00000X
Behavior Technician
Primary
RBT-20-135577
CO
Other
Enumeration date
03/02/2021
Last updated
07/03/2024
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