Individual
JESSICA RYDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
4530 E MUIRWOOD DR, SUITE 103, PHOENIX, AZ 85048-7639
(480) 610-6981
Mailing address
2406 W WINCHCOMB DR, PHOENIX, AZ 85023-5930
(623) 236-4309
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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