Individual
SHANIA S BRYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2603 W RAWSON AVE STE 132, OAK CREEK, WI 53154-8422
(888) 754-0398
Mailing address
2635 N 40TH ST, MILWAUKEE, WI 53210-2505
(414) 899-5930
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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