Individual
TIFFANIE MARIE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
125 DILLMONT ROAD, COLUMBUS, OH 43235
(614) 844-5433
Mailing address
125 DILLMONT ROAD, COLUMBUS, OH 43235
(614) 844-5433
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-13-14228
—
103K00000X
Behavior Analyst
Primary
COBA.20
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072761
—
OH
Enumeration date
11/18/2014
Last updated
11/18/2014
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