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Individual

CHELSEA BRYANT

Active
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Individual

CHELSEA BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M. ED

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30834
OR
247200000X
Other Technician
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-30834
BACB
OR
01
—
B-10195009
OREGON BARB
OR
Enumeration date
07/26/2016
Last updated
03/09/2020
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