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1164076113
BRYAN JOSEPH BLAIR
BROOKLYN, NY
NPI
1164076113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: MA 130)
Enumeration Date
2019-07-29
Last Update Date
2019-07-29
Business Address
Dr. BRYAN JOSEPH BLAIR BCBA
97 GRAND AVE APT 2D
BROOKLYN, NY 11205-2653
Phone number: 617-640-1534
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Mailing Address
Dr. BRYAN JOSEPH BLAIR BCBA
97 GRAND AVE APT 2D
BROOKLYN, NY 11205-2653
Phone number: 617-640-1534
Copy
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