Individual
ANGELA D RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1080 LEE ROAD 292, SMITHS STATION, AL 36877-3616
(706) 718-9672
Mailing address
1110 13TH ST STE D, COLUMBUS, GA 31901-2246
(706) 780-1704
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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