Individual
KRISTIN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4959 UTICA RIDGE RD, DAVENPORT, IA 52807-3063
(563) 362-9631
Mailing address
4959 UTICA RIDGE RD, DAVENPORT, IA 52807-3063
(563) 362-9631
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-442147
IA
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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