Individual
RYAN BLANKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6074 SECRET ISLAND DR, LAS VEGAS, NV 89139-6250
(702) 465-0657
Mailing address
6074 SECRECT ISLAND DRIVE, LAS VEGAS, NV 89139-0551
(702) 465-0657
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NV
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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