Rebbeca Bruner
Individual provider Active NPI Behavior Technician · Bentonville, AR
NPI 1245803071 · NPPES record last updated Jul 20, 2021
Key facts
- NPI
- 1245803071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2601 N Walton Blvd Ste a
Bentonville, AR 72712-4302 - Phone
- (417) 501-4161
- Fax
- (417) 627-5330
- NPI assigned
- Jul 20, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2601 N Walton Blvd Ste a
Bentonville, AR 72712-4302
Mailing address
2601 N Walton Blvd Ste a
Bentonville, AR 72712-4302
Phone (417) 501-4161
Other providers in Bentonville, AR
- Shelly Marie Brown
- Karen Diane Browne
- Amanda E Broyles
- Megan Bruce
- Shawn L Brummett
- Brittany N Brunson
- Valeria Brunson
- Cody Bryan
- Rebecca C Bryan
- BTW Solutions, LLC
All providers in Bentonville, AR · Behavior Technician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2021. 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.