Ryan Lemos
Behavior Technician in Rancho Cucamonga, CA. Individual provider (NPI-1).
NPI number1245064005
StatusActive
Last updated in NPPESAug 26, 2024
Details
- NPI
- 1245064005
- Entity type
- Individual (NPI-1)
- Name
- Ryan Lemos
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 26, 2024
- Certification date
- Aug 26, 2024
- Last updated
- Aug 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
11799 Sebastian Way Ste 103Rancho Cucamonga, CA 91730-0708
Phone 909-353-7547
Mailing address
34119 Lake Breeze DrYucaipa, CA 92399-6919
Phone 909-699-5204
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