Dr. Bryan Joseph Blair, BCBA
Behavior Analyst in Brooklyn, NY. Individual provider (NPI-1).
NPI number1164076113
StatusActive
Last updated in NPPESJul 29, 2019
Details
- NPI
- 1164076113
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bryan Joseph Blair
- Credential
- BCBA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 29, 2019
- Last updated
- Jul 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 130 | MA | Yes |
Practice location
97 Grand Ave Apt 2dBrooklyn, NY 11205-2653
Phone 617-640-1534
Mailing address
97 Grand Ave Apt 2dBrooklyn, NY 11205-2653
Phone 617-640-1534
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