Individual
CAMERON BRUECKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
900 RIVERDALE ST UNIT 286, WEST SPRINGFIELD, MA 01089-4900
(185) 583-2672
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-63923
—
106S00000X
Behavior Technician
RBT-20-140569
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108720700
—
FL
Enumeration date
11/02/2020
Last updated
02/09/2023
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