Individual
MICHELLE RENEE BRUSHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 PIERCE ST, OMAHA, NE 68108-3207
(678) 210-1801
Mailing address
8300 JEFFERSON ST NE STE B, ALBUQUERQUE, NM 87113-1734
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/20/2022
Last updated
03/20/2022
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