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NPI Code Detail

MEDICARE: MS. DIANA BRUNO BCBA

MEDICARE: MS. DIANA BRUNO BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106E00000XAssistant Behavior Analyst0134000181VA
2103K00000XBehavior AnalystLBA1425MD

General Provider Information

NPI Number : 1386176949
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DIANA BRUNO BCBA
Provider Business Mailing Address
First Line : 69 SMITH AVE
Second Line :
City : WESTMINSTER
State : MD
Zip : 21157-5744
Country : US
Telephone Number : 908-839-3952
Fax Number :
Provider Business Practice Location Address
First Line : 706 W PATRICK ST
Second Line :
City : FREDERICK
State : MD
Zip : 21701-4030
Country : US
Telephone Number : 301-882-7932
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2017
Last Update Date : 11/20/2022

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