Individual
MRS. CAMIRA RESHEA' BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
373 S WILLOW ST STE 206, MANCHESTER, NH 03103-5751
(877) 315-8080
Mailing address
373 S WILLOW ST STE 206, MANCHESTER, NH 03103-5751
(877) 315-8080
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001894
VA
103K00000X
Behavior Analyst
LBA1004
MD
Other
Enumeration date
08/10/2018
Last updated
08/03/2021
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