Individual
RYAN WILLIAM DUBININ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1619 COLLINS RD NW STE 500, KENNESAW, GA 30152-8237
(470) 531-0430
(470) 408-2550
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
(407) 588-6294
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58688
GA
106S00000X
Behavior Technician
RBT-19-76631
GA
Other
Enumeration date
02/07/2019
Last updated
03/19/2023
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