Individual
MYESON BRIGERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1086 HIGHWAY 315 BLVD, WILKES BARRE, PA 18702-7012
(267) 432-9354
(570) 904-8571
Mailing address
1501 E WALNUT LN, PHILADELPHIA, PA 19138-1607
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002057
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH002057
BEHAVIOR SPECIALIST
PA
Enumeration date
04/14/2022
Last updated
04/14/2022
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