Individual
MADISON M BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
6925 PARKDALE PL, INDIANAPOLIS, IN 46254-4673
(317) 597-4553
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-50892
IN
Other
Enumeration date
07/30/2018
Last updated
01/03/2022
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