Individual
SHAWN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
800 BIRCHFIELD DRIVE, SUITE 801, MOUNT LAUREL, NJ 08054
(484) 681-2170
(484) 320-8307
Mailing address
583 SHOEMAKER RD STE 130, KING OF PRUSSIA, PA 19406-4238
(484) 681-2170
(484) 320-8307
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36725
NJ
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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