Individual
BRYAN STORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2110 E FLAMINGO RD # 150, LAS VEGAS, NV 89119-5190
(702) 270-3219
(866) 833-2056
Mailing address
6304 FAIRWOOD AVE, LAS VEGAS, NV 89107-2568
(702) 476-0537
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-20586
NV
Other
Enumeration date
04/28/2016
Last updated
07/21/2022
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