Individual
RYAN HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4912 WALKER CIR, JOHNSTON, IA 50131-2535
(515) 664-3422
Mailing address
8247 VILLA DR, DES MOINES, IA 50320-6971
(515) 554-7540
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-156609
IA
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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