Alicia D Bruner, is a
Behavior Analyst based in Oklahoma City, Oklahoma. Alicia D Bruner is licensed to practice in Oklahoma (license number ) and her current practice location is
12512 Bannockburn Pl, Oklahoma City, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(405) 414-4029.
NPI number for Alicia D Bruner is 1154605426 and her current mailing address is 12512 Bannockburn Pl, Oklahoma City, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154605426.
Healthcare Provider's Profile
| Full Name | Alicia D Bruner |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 12512 Bannockburn Pl, Oklahoma City, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1154605426
- Provider Enumeration Date: 10/05/2011
- Last Update Date: 10/05/2011
Medical Identifiers
Medical identifiers for Alicia D Bruner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154605426 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YS0200X | Counselor - School | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (Oklahoma) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alicia D Bruner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Alicia D Bruner,
12512 Bannockburn Pl,
Oklahoma City, OK 73142-4515
Ph: (405) 414-4029 | Alicia D Bruner,
12512 Bannockburn Pl,
Oklahoma City, OK 73142-4515
Ph: (405) 414-4029 |
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