Individual
KAYLA JEAN BRUNNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14301 EWING AVE S, BURNSVILLE, MN 55306-4885
(952) 746-5350
Mailing address
1509 SOUTHCROSS DR W, BURNSVILLE, MN 55306-6945
(952) 491-9810
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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