Most Relevant Information
Provider Data
| NPI Number: | 1003423666 |
| Provider Name: | LORNA NATALIE BRUNO BA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-20-136532 |
Most Important Dates
| Enumeration Date: | 09/28/2020 |
| Last Updated: | 09/28/2020 |
Provider Practice Location
9559 HIGHWAY 5 STE 601
DOUGLASVILLE
GA
301351572
Practice Location Phone/Fax
| Phone: | 4706325276 |
| Fax: | 3175208200 |
Provider Mailing Location
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS
IN
462686135
Provider Mailing Phone/Fax
| Phone: | 8553240885 |
| Fax: | 3175208200 |