Individual
MS. ALEXISS JISEL BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 CHALLENGER AVE, HAMPTON, VA 23665-2493
(855) 832-6727
Mailing address
200 CHALLENGER AVE, HAMPTON, VA 23665-2493
(931) 343-9833
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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