Individual
BRYCE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
2612 RAYMA CT, RENO, NV 89503-5707
(775) 220-5499
Mailing address
2612 RAYMA CT, RENO, NV 89503-5707
(775) 220-5499
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245781160
—
NV
Enumeration date
10/27/2016
Last updated
10/27/2016
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