Individual
CODI RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
632 EASTERN BLVD, CLARKSVILLE, IN 47129-2463
(317) 249-2242
(844) 289-6798
Mailing address
550 CONGRESSIONAL BLVD STE 220, CARMEL, IN 46032-5632
(317) 249-2242
(844) 289-6798
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
02/20/2025
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