Individual
JACKIE BRUNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2520 NW 39TH EXPY STE 100, OKLAHOMA CITY, OK 73112-3759
(405) 605-1885
Mailing address
2520 NW 39TH EXPY STE 100, OKLAHOMA CITY, OK 73112-3759
(405) 605-1885
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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