Bruecks, Cameron
Bruecks, Cameron is an individual health care provider with primary practice located at 900 Riverdale St Unit 286 , West Springfield MA 01089-4900. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Bruecks, Cameron can be contacted via phone (185) 583-2672.Contact Information
Primary practice address
900 Riverdale St Unit 286
West Springfield MA 01089-4900
Phone: (185) 583-2672
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-20-140569 | Florida |
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-23-63923 |
Profile Details
NPI number | 1982205571 |
---|---|
LBN Legal business name | Bruecks, Cameron |
Credentials | BCBA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 2nd, 2020 |
Last updated | Feb 9th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982205571 | NPPES |
Florida | MEDICAID | 108720700 |
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