Individual
RYAN KASZUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
9001 INDIANAPOLIS BLVD, HIGHLAND, IN 46322-2502
(219) 501-1729
Mailing address
9001 INDIANAPOLIS BLVD, HIGHLAND, IN 46322-2502
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/26/2016
Last updated
02/20/2019
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