Individual
BRYAN ALEXIS RENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 MACKENAN DR, CARY, NC 27511-6498
(919) 502-4109
Mailing address
201 MACKENAN DR, CARY, NC 27511-6498
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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