Individual
KRISTOPHER SAMUEL BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9930 KINCEY AVE STE 140, HUNTERSVILLE, NC 28078-6541
(980) 380-9775
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-48676
NC
106S00000X
Behavior Technician
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Other
Enumeration date
10/04/2018
Last updated
03/12/2024
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