Individual
BRIAN MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED, BCBA
Contact information
Practice address
1917 RIVERMONT AVE, LYNCHBURG, VA 24503-4118
(434) 944-8656
Mailing address
1917 RIVERMONT AVE, LYNCHBURG, VA 24503-4118
(434) 944-8656
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8189
VA
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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