Individual
DR. BRYAN JOSEPH BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
97 GRAND AVE APT 2D, BROOKLYN, NY 11205-2653
(617) 640-1534
Mailing address
97 GRAND AVE APT 2D, BROOKLYN, NY 11205-2653
(617) 640-1534
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
130
MA
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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