Ryan Kelly Gene Musgrave
Behavior Technician in Spokane, WA. Individual provider (NPI-1).
NPI number1366058752
StatusActive
Last updated in NPPESSep 21, 2020
Details
- NPI
- 1366058752
- Entity type
- Individual (NPI-1)
- Name
- Ryan Kelly Gene Musgrave
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2020
- Certification date
- Sep 21, 2020
- Last updated
- Sep 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1101 W College Ave # 345Spokane, WA 99201-2010
Phone 509-324-1558
Mailing address
1101 W College Ave # 345Spokane, WA 99201-2010
Phone 509-324-1558
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