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Individual

MR. BRYAN ALAN SIMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, BCBA, LBA

Contact information

Practice address
16379 E PRESERVE LOOP UNIT 2054, CHINO, CA 91708-9402
(714) 323-4299
Mailing address
16379 E PRESERVE LOOP UNIT 2054, CHINO, CA 91708-9402
(714) 323-4299

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-29851
103K00000X
Behavior Analyst
189
KS
103K00000X
Behavior Analyst
2018027335
MO
103K00000X
Behavior Analyst
60914242
WA

Other

Enumeration date
09/24/2018
Last updated
08/17/2020
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