Clark Dean Bryan

NPI #1265210728 in Miramar, Florida

Provider Information

NPI Number: 1265210728
Entity Type: Individual
Name: Clark Dean Bryan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 18, 2023
Last Updated: Sep 18, 2023

Practice Location

Address: 2730 DEVONWOOD AVE
City: Miramar
State: Florida
ZIP Code: 33025-2442
Phone: (954) 240-5646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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