Individual
CHELSEA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED
Contact information
Practice address
11037 WARNER AVE # 339, FOUNTAIN VALLEY, CA 92708-4007
(800) 273-4292
(949) 253-4627
Mailing address
340 B AVE, LAKE OSWEGO, OR 97034-3012
(503) 303-7212
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30834
OR
247200000X
Other Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-30834
BACB
OR
01
—
B-10195009
OREGON BARB
OR
Enumeration date
07/26/2016
Last updated
03/09/2020
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