Individual
BRYAN TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4125 KISSENA BLVD APT 5H, FLUSHING, NY 11355-3141
(347) 822-4824
Mailing address
4125 KISSENA BLVD APT 5H, FLUSHING, NY 11355-3141
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-265493
NY
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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