Mr. Bryan Matthew Stark
Mr. Bryan Matthew Stark is a Behavior Technician in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2021.
- Licensed in
- FL
- In the registry since
- 2021
Practice location Address checks out
10150 Highland Manor Dr Ste 200Tampa, FL 33610-9712
Phone: (863) 602-0698
Fax: (813) 354-2715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-21-171822 (FL) |
|---|
Record details
| NPI number | 1689243719 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 22, 2021 |
| Last updated in NPPES | June 22, 2021 |
| Certification date | June 22, 2021 |
| Mailing address | Po Box 6553, Lakeland, FL 33807-6553 |
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