Most Relevant Information
Provider Data
| NPI Number: | 1003589474 |
| Provider Name: | JENNIFER LURINE BRYANT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/30/2021 |
| Last Updated: | 07/30/2021 |
Provider Practice Location
3831 W VINE ST STE 60
KISSIMMEE
FL
347414650
Practice Location Phone/Fax
| Phone: | 4075594854 |
| Fax: |
Provider Mailing Location
2410 RAVENDALE CT
KISSIMMEE
FL
347582212
Provider Mailing Phone/Fax
| Phone: | 3214604952 |
| Fax: |