Individual
NICOLE JANEAN BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18792 FERNWOOD RD, HIDDEN VALLEY LAKE, CA 95467-8236
(707) 486-2980
Mailing address
18792 FERNWOOD RD, HIDDEN VALLEY LAKE, CA 95467-8236
(707) 486-2980
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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