Individual
RYAN ILENE WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
365 W 50 N STE W8, VERNAL, UT 84078-2010
(435) 790-2757
Mailing address
365 W 50 N STE W8, VERNAL, UT 84078-2010
(435) 790-2757
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11273332-2506
UT
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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