Tacara Bryant

NPI #1073185633 in Woodbury, Minnesota

Provider Information

NPI Number: 1073185633
Entity Type: Individual
Name: Tacara Bryant
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 13, 2021
Last Updated: Jun 6, 2022

Practice Location

Address: 731 BIELENBERG DR # 102-104
City: Woodbury
State: Minnesota
ZIP Code: 55125-1700
Phone: (612) 712-5381

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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