Individual
LYDIA ELIZABETH RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
162 WEST ST STE F, CROMWELL, CT 06416-4405
(860) 613-9930
Mailing address
110 COURT ST STE 3, CROMWELL, CT 06416-1273
(401) 714-3396
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
735
LICENSED BEHAVIOR ANALYST
CT
Enumeration date
04/18/2014
Last updated
06/23/2023
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