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Individual

BRYAN BRANDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6311 COLONIAL GRAND DR UNIT 211, TAMPA, FL 33647-3696
(813) 731-7468
Mailing address
6311 COLONIAL GRAND DR UNIT 211, TAMPA, FL 33647-3696

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-13-5574
FL

Other

Enumeration date
01/21/2014
Last updated
01/21/2014
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