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Ryan Altherr

Behavior Technician in Edwardsville, IL. Individual provider (NPI-1).

NPI number1962385161
StatusActive
Last updated in NPPESJul 28, 2025

Details

NPI
1962385161
Entity type
Individual (NPI-1)
Name
Ryan Altherr
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 28, 2025
Certification date
Jul 28, 2025
Last updated
Jul 28, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

400 Saint Louis St Ste 1
Edwardsville, IL 62025-1979

Phone 844-244-1818

Mailing address

500 Reserve Cir # 568
Edwardsville, IL 62025-4673

Phone 217-855-3097

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