Individual
BRENNA VANUCCI-MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 E STATE ST, CHEBOYGAN, MI 49721-2124
(231) 268-0007
Mailing address
9998 S RIVER RD, CHEBOYGAN, MI 49721-8725
(810) 625-5140
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002891
MI
106E00000X
Assistant Behavior Analyst
7402000205
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/18/2022
Last updated
02/10/2026
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