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Emma Brudnicki

Behavior Technician in Midvale, UT. Individual provider (NPI-1).

NPI number1992296396
StatusActive
Last updated in NPPESMay 22, 2018

Details

NPI
1992296396
Entity type
Individual (NPI-1)
Name
Emma Brudnicki
Sex
Female
Sole proprietor
No
Enumeration date
May 22, 2018
Last updated
May 22, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

7434 S State St
Midvale, UT 84047-2014

Phone 801-456-9955

Mailing address

7434 S State St
Midvale, UT 84047-2014

Phone 801-456-9955

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