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Individual

KAITLYN RYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
13 COLONY CIR, LAKEWOOD, NJ 08701
(732) 523-1650
Mailing address
724 AVENUE A, BAYONNE, NJ 07002-1818
(201) 240-7956

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59667
NJ

Other

Enumeration date
06/08/2022
Last updated
06/08/2022
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