Amber Bruns, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

014 Issued in SD

Practice address

2419 Washington Ave.
Montevideo, MN 56265

Phone

(320) 321-9732

NPI assigned

Jan 30, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Amber Stewart Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• SWWC Service Cooperatives

  • Local Education Agency (LEA)
  • Marshall, MN
  • NPI 1043316235
  NPD
• SWWC Service Cooperatives

  • Early Intervention Provider Agency
  • Montevideo, MN
  • NPI 1083175442
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1003370495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 S PURDUE AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571065146",
            "telephone_number": "605-376-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 WASHINGTON AVE.",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "56265",
            "telephone_number": "320-321-9732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1314 N Hiawatha Ave",
            "address_purpose": "LOCATION",
            "city": "Pipestone",
            "state": "MN",
            "postal_code": "561642282",
            "country_code": "US",
            "telephone_number": "507-825-5858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Saturn St N Ste A",
            "address_purpose": "LOCATION",
            "city": "Cosmos",
            "state": "MN",
            "postal_code": "562289757",
            "country_code": "US",
            "telephone_number": "320-877-7074",
            "fax_number": "320-877-9088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "349 W Main St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MN",
            "postal_code": "562581392",
            "country_code": "US",
            "telephone_number": "507-337-2970",
            "fax_number": "320-877-9088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNS",
        "first_name": "AMBER",
        "name_prefix": "Dr.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "SD",
            "license": "014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "STEWART",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• CCM Health
• CCM Health
• CCM Health

• All providers in Montevideo, MN
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.