Individual
MICHAEL JOHN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
5804 BABCOCK RD STE 231, SAN ANTONIO, TX 78240-2134
(210) 685-2266
(210) 468-5573
Mailing address
137 PILOT PT, CIBOLO, TX 78108-4275
(210) 273-7102
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
5953
TX
106S00000X
Behavior Technician
RBT-15-03101
TX
Other
Enumeration date
06/23/2021
Last updated
06/30/2023
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