Individual
KATHERINE BRUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LBA
Contact information
Practice address
8401 MAYLAND DR STE 5275, RICHMOND, VA 23294-4648
(434) 207-6422
Mailing address
4520 GOLF PARK DR, LYNCHBURG, VA 24502-1008
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001085
VA
Other
Enumeration date
12/28/2018
Last updated
04/15/2025
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