Individual
CALICIA BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2275 BRIDGE ST BLDG 5B-132, PHILADELPHIA, PA 19137-1300
(215) 772-0101
Mailing address
151 E KINGS HWY UNIT 162, MAPLE SHADE, NJ 08052-3428
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/06/2017
Last updated
09/07/2017
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