Individual
MS. DIANA BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
706 W PATRICK ST, FREDERICK, MD 21701-4030
(301) 882-7932
Mailing address
69 SMITH AVE, WESTMINSTER, MD 21157-5744
(908) 839-3952
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA1425
MD
106E00000X
Assistant Behavior Analyst
0134000181
VA
Other
Enumeration date
03/31/2017
Last updated
11/20/2022
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