Individual
EMMA SHAY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
450 QUAKER CHURCH RD, RANDOLPH, NJ 07869-1373
(973) 298-0763
Mailing address
450 QUAKER CHURCH RD, RANDOLPH, NJ 07869-1373
(973) 298-0763
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB520790
NJ
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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