Individual
ANTHONY THOMAS BRONAUGH SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED, BCBA, COBA
Contact information
Practice address
5151 MONROE ST STE 232, TOLEDO, OH 43623-3461
(419) 574-9290
(248) 712-4381
Mailing address
5151 MONROE ST STE 232, TOLEDO, OH 43623-3461
(419) 574-9290
(248) 712-4381
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-21-46996
MI
103K00000X
Behavior Analyst
1-21-46996
OH
103K00000X
Behavior Analyst
Primary
COBA.00851
OH
247200000X
Other Technician
—
—
Other
Enumeration date
11/21/2016
Last updated
10/14/2022
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