Individual
TATIANA AALIYAH BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA, LBA
Contact information
Practice address
8000 BROOK RD, RICHMOND, VA 23227-1338
(804) 553-3200
Mailing address
3300 TUXEDO BLVD, RICHMOND, VA 23223-5422
(804) 591-7271
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002468
VA
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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