Individual
MATTHEW BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13404 N MERIDIAN AVE, OKLAHOMA CITY, OK 73120-8311
(405) 752-2264
(405) 752-4638
Mailing address
13404 N MERIDIAN AVE, OKLAHOMA CITY, OK 73120-8311
(405) 752-2264
(405) 752-4638
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
23258806
OK
106S00000X
Behavior Technician
Primary
23258806
OK
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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