Individual
AMANDA MARIE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1226 PROGRESSIVE DR, CHESAPEAKE, VA 23320-2847
(757) 286-2786
Mailing address
1912 IRIS ST, CHESAPEAKE, VA 23324-2819
(757) 773-0673
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
05/03/2023
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