Marian Bruck
Individual provider Active NPI Behavior Technician · Norwalk, OH
NPI 1053145151 · NPPES record last updated Aug 29, 2024
Key facts
- NPI
- 1053145151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 34 Woodlawn Ave
Norwalk, OH 44857-2236 - Phone
- (567) 743-7199
- Fax
- (419) 756-5642
- NPI assigned
- Aug 29, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Life Counseling & Psychiatric Services | Past |
Accepting new patients | |
| Family Life Counseling & Psychiatric Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
34 Woodlawn Ave
Norwalk, OH 44857-2236
Mailing address
151 Marion Ave
Mansfield, OH 44903-2223
Phone (419) 774-9969
Other providers in Norwalk, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.