Alexandra Gabrielle Brunner, BCBA, LBA

Individual provider Active NPI Behavior Analyst · Biloxi, MS

NPI 1871280784 · NPPES record last updated Apr 20, 2023

Key facts

NPI
1871280784
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
220063 (MS)
Practice address
963 Division St
Biloxi, MS 39530-2961
Phone
(601) 447-3799
NPI assigned
Apr 20, 2023
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

State licenses

LicenseStateTypeSpecialty
220063MSMDBehavioral Analyst

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 220063 MS Yes

Addresses

Primary practice location

963 Division St
Biloxi, MS 39530-2961

Mailing address

963 Division St
Biloxi, MS 39530-2961
Phone (601) 447-3799

Other providers in Biloxi, MS

All providers in Biloxi, MS · Behavior Analyst in Mississippi

Sources for this page

Verify at the official NPI Registry.