Individual
BRIANNA NICOLE BOHNERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
628 LAKE ST NE, WISE, VA 24293-7919
(276) 328-8017
Mailing address
9625 EMORY AVE, WISE, VA 24293-4413
(276) 245-8513
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001978
VA
Other
Enumeration date
05/21/2021
Last updated
10/10/2023
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