Individual
BRYAN NANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCABA
Contact information
Practice address
440 SAWGRASS CORPORATE PKWY, SUITE 106, SUNRISE, FL 33325-6244
(954) 745-1112
Mailing address
440 SAWGRASS CORPORATE PKWY, SUITE 106, SUNRISE, FL 33325-6244
(954) 745-1112
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
106E00000X
Assistant Behavior Analyst
Primary
0-17-8402
FL
Other
Enumeration date
06/25/2016
Last updated
04/14/2019
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