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Individual

BRYANT DEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
617 FRANKLIN AVE, BERLIN, MD 21811-1358
(302) 604-2424
Mailing address
617 FRANKLIN AVE, BERLIN, MD 21811-1358
(302) 604-2424

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-78897
MD
106S00000X
Behavior Technician
RBT-22-212124
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
523411500
MD
Enumeration date
04/26/2022
Last updated
09/10/2025
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