Individual
JACQUELINE BONRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1307 N MAIN ST STE A, MITCHELL, SD 57301-1380
(605) 759-3126
Mailing address
1307 N MAIN ST STE A, MITCHELL, SD 57301-1380
(605) 759-3126
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52117
SD
Other
Enumeration date
10/08/2018
Last updated
11/14/2023
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