Individual
BRYSON BRUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1330 D AVE, WEST COLUMBIA, SC 29169-6310
(803) 760-5611
Mailing address
1330 D AVE, WEST COLUMBIA, SC 29169-6310
(803) 760-5611
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
SC
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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