Ryan Edgar
Behavior Analyst in Mishawaka, IN. Individual provider (NPI-1).
NPI number1144951237
StatusActive
Last updated in NPPESJun 21, 2022
Details
- NPI
- 1144951237
- Entity type
- Individual (NPI-1)
- Name
- Ryan Edgar
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 21, 2022
- Certification date
- Jun 21, 2022
- Last updated
- Jun 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 12259957 | IN | Yes |
Practice location
1316 W Dragoon TrlMishawaka, IN 46544-4713
Phone 574-855-4292 · Fax 574-635-3201
Mailing address
1316 W Dragoon TrlMishawaka, IN 46544-4713
Phone 574-855-4292 · Fax 574-635-3201
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