Individual
AUDREY BRUNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 WALNUT ST STE 200, WELLESLEY, MA 02481-2101
(781) 943-3696
Mailing address
35 WALNUT ST STE 200, WELLESLEY, MA 02481-2101
(781) 943-3696
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
142001
MA
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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