Individual
BRIAN KEITH WAYLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3 WENARK DR APT 7, NEWARK, DE 19713-1406
(302) 299-7350
Mailing address
3 WENARK DR APT 7, NEWARK, DE 19713-1406
(302) 299-7350
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L1-0037014
DE
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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