Individual
ADAM MICHAEL RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1409 W CARROLL AVE, CHICAGO, IL 60607-1105
(312) 733-0883
Mailing address
6458 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3245
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-77318
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295223634
NPI
IL
Enumeration date
04/30/2018
Last updated
12/10/2025
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