Individual
BRYANNE LEE BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA, MS
Contact information
Practice address
150 N SUNNY SLOPE RD STE 100, BROOKFIELD, WI 53005-4806
(262) 432-5660
(262) 432-5666
Mailing address
N7421 LOST NATION RD, ELKHORN, WI 53121-2639
(262) 758-7192
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1091-140
WI
Other
Enumeration date
03/09/2018
Last updated
05/02/2023
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