Individual
ELIZABETH MJ BRUNELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 SUNSET AVE APT 48B, NORTH PROVIDENCE, RI 02904-3793
(401) 692-0681
Mailing address
415 SUNSET AVE APT 48B, NORTH PROVIDENCE, RI 02904-3793
(401) 692-0681
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
106S00000X
RI
106S00000X
Behavior Technician
Primary
106S00000X
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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