Individual
ALEXANDRA GABRIELLE BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
963 DIVISION ST, BILOXI, MS 39530-2961
(601) 447-3799
Mailing address
963 DIVISION ST, BILOXI, MS 39530-2961
(601) 447-3799
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
220063
MS
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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