Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bryan Thedyanto

Individual provider Behavior Technician · NPI 1467251520

Bryan Thedyanto is a Behavior Technician in Los Angeles, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3031 Beverly Blvd Ste B
Los Angeles, CA 90057-1013
Phone: (323) 644-9380
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1467251520
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 11, 2025
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025

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