Individual
CASEY BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 KUNEHI ST APT 206, KAPOLEI, HI 96707-2069
(808) 674-6641
Mailing address
92-1285 PANANA ST APT 10, KAPOLEI, HI 96707-3709
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/02/2020
Last updated
06/29/2022
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