Marian Bruck
Behavior Technician in Norwalk, OH. Individual provider (NPI-1).
NPI number1053145151
StatusActive
Last updated in NPPESAug 29, 2024
Details
- NPI
- 1053145151
- Entity type
- Individual (NPI-1)
- Name
- Marian Bruck
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2024
- Certification date
- Aug 29, 2024
- Last updated
- Aug 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
34 Woodlawn AveNorwalk, OH 44857-2236
Phone 567-743-7199 · Fax 419-756-5642
Mailing address
151 Marion AveMansfield, OH 44903-2223
Phone 419-774-9969 · Fax 419-756-5642
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