Most Relevant Information
Provider Data
| NPI Number: | 1003554478 |
| Provider Name: | BRYANNA LAWHORN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/25/2022 |
| Last Updated: | 05/25/2022 |
Provider Practice Location
1912 DAIRY RD
WEST MELBOURNE
FL
329044046
Practice Location Phone/Fax
| Phone: | 3214133366 |
| Fax: |
Provider Mailing Location
2630 HUTCHISON PL
TITUSVILLE
FL
327804836
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |