Individual
BETHANEA BRONNENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2101 W ENTERPRISE AVE, MUNCIE, IN 47304-5839
(765) 896-7140
Mailing address
2101 W ENTERPRISE AVE, MUNCIE, IN 47304-5839
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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