Individual
MICHAELA BRUELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9902 SWANSON BLVD, CLIVE, IA 50325-6932
(515) 261-2402
Mailing address
9902 SWANSON BLVD, CLIVE, IA 50325-6932
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
109832
IA
Other
Enumeration date
10/23/2019
Last updated
08/18/2021
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