Individual
MR. BRYAN ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11811 CYPRESS HILL CIR, NONE, TAMPA, FL 33626-3672
(813) 444-8413
Mailing address
11811 CYPRESS HILL CIR, NONE, TAMPA, FL 33626-3672
(813) 444-8413
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
1174928931
FL
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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