Most Relevant Information
Provider Data
| NPI Number: | 1003643107 |
| Provider Name: | MARY BRUGGER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/14/2024 |
| Last Updated: | 09/14/2024 |
Provider Practice Location
54 MYRTLE ST
BELMONT
NC
280125200
Practice Location Phone/Fax
| Phone: | 7049548959 |
| Fax: |
Provider Mailing Location
2675 COURT DR # B
GASTONIA
NC
280541478
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |