Individual
BRYCE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21515 HAWTHORNE BLVD UNIT GL-100, TORRANCE, CA 90503-6501
(424) 571-2618
Mailing address
2412 CABRILLO AVE, TORRANCE, CA 90501-4621
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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