Individual
RYAN LANDVATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6140 W EXECUTIVE DR STE B, MEQUON, WI 53092-4499
(262) 388-7151
Mailing address
6140 W EXECUTIVE DR STE B, MEQUON, WI 53092-4499
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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