Individual
RYAN HANNIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
305 BIRCH ST, FIRCREST, WA 98466-6681
(626) 497-8162
Mailing address
305 BIRCH ST, FIRCREST, WA 98466-6681
(626) 497-8162
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13249
CA
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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