Individual
KELLY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13100 W LISBON RD STE 600, BROOKFIELD, WI 53005-2509
(833) 646-3222
(833) 646-3222
Mailing address
224 W 35TH ST, NEW YORK, NY 10001-2507
(833) 646-3222
(833) 646-3222
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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