Individual
ALICIA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
590 HWY W, STE 210, MONUMENT, CO 80132-2218
(719) 000-0000
Mailing address
590 HWY W, 220, MONUMENT, CO 80132-2218
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CO
Other
Enumeration date
07/29/2024
Last updated
02/03/2025
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