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

Theodorus Bryan

Individual provider Behavior Technician · NPI 1942989744

Theodorus Bryan is a Behavior Technician in Charlotte, North Carolina. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

420 Hawthorne Ln
Charlotte, NC 28204-2312
Phone: (704) 780-4271
Fax: (888) 261-6649
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 number1942989744
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 18, 2023
Last updated in NPPESJuly 18, 2023
Certification dateJuly 18, 2023

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