Individual
RYAN MOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBA
Contact information
Practice address
4309 E FLORIAN AVE, MESA, AZ 85206-2798
(602) 609-4391
Mailing address
7409 E MONTE AVE, MESA, AZ 85209-4977
(918) 924-7976
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-001622
AZ
Other
Enumeration date
03/31/2017
Last updated
01/16/2025
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