Individual
LEILA BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13404 N MERIDIAN AVE, OKLAHOMA CITY, OK 73120-8311
(405) 752-2264
Mailing address
13404 N MERIDIAN AVE, OKLAHOMA CITY, OK 73120-8311
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15746
OK
103TS0200X
School Psychologist
44413
OK
Other
Enumeration date
05/17/2016
Last updated
08/07/2016
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