Individual
JILLIAN V BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6036 W HIGHWAY 74, INDIAN TRAIL, NC 28079
(704) 900-0054
Mailing address
3441 SOUTH BLVD UNIT 216, CHARLOTTE, NC 28209-2057
(609) 846-5510
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3132
NC
Other
Enumeration date
04/27/2021
Last updated
08/15/2025
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