Individual
RYAN NICHOLAS FUGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2959 S MERIDIAN RD, MERIDIAN, ID 83642-7961
(208) 871-2102
Mailing address
2959 S MERIDIAN RD, MERIDIAN, ID 83642-7961
(208) 871-2102
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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