Individual
MISS AIMEE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1959 N PEACE HAVEN RD # 104, WINSTON SALEM, NC 27106-4850
(336) 560-7878
Mailing address
1409A OAK RIDGE RD, KERNERSVILLE, NC 27284-9729
(336) 803-1563
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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