Individual
A'MAIYAH RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 RIO GRANDE BLVD NW STE D224, ALBUQUERQUE, NM 87104-2052
(505) 302-5383
Mailing address
901 RIO GRANDE BLVD NW STE D224, ALBUQUERQUE, NM 87104-2052
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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