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General NPI Number Information
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NPI Number | 1699106054
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Entity Type | Organization
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Legal Business Name | TERRENCE BRYANT ENTERPRISES, INC
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Dates
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Enumeration Date | 12/10/2013
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Last Update Date | 12/10/2013
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Provider Practice Location Address
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Address Line | 4421 OAKHAM CT
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City | ORLANDO
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State | FL
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Zip | 32818-8243
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Country | US
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Telephone | 407-461-1910
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Fax | 407-297-8870
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Provider Business Mailing Address
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Address Line | 4421 OAKHAM CT
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City | ORLANDO
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State | FL
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Zip | 32818-8243
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Country | US
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Telephone | 407-461-1910
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Fax | 407-297-8870
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Authorized Official
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Title or Position | BOARD CERTIFIED BEHAVIOR ANALYST
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Name | DR. TERRENCE BRYANT SR.
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Credential | PH.D., BCBA-D
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Telephone | 407-461-1910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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