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Individual
KAY DARLENE BRYNILDSON
Active
Individual
KAY DARLENE BRYNILDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S., BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-00-0085
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
686320596
MEDWAIVER HCBS
FL
01
—
686320598
MEDWAIVER HCBS/FSL
FL
Enumeration date
03/16/2009
Last updated
03/16/2009
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