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General NPI Number Information
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NPI Number | 1760335079
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Entity Type | Organization
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Legal Business Name | DEANNA BRUNK, LLC
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 6821 59TH WAY N
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City | PINELLAS PARK
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State | FL
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Zip | 33781-5455
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Country | US
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Telephone | 727-269-6106
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Fax |
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Provider Business Mailing Address
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Address Line | 6821 59TH WAY N
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City | PINELLAS PARK
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State | FL
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Zip | 33781-5455
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Country | US
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Telephone | 727-269-6106
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Fax |
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Authorized Official
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Title or Position | BOARD CERTIFIED BEHAVIOR ANALYST
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Name | DEANNA BRUNK
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Credential |
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Telephone | 727-269-6106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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