Individual
JULIA MARIE BRUCKNER-GRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 CURVE CREST BLVD W STE 104, STILLWATER, MN 55082-6181
(651) 342-1883
Mailing address
1701 CURVE CREST BLVD W STE 104, STILLWATER, MN 55082-6181
(651) 342-1883
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0522
MN
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/17/2019
Last updated
05/20/2026
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