Individual
EVAN RYERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 E 15TH AVE, EUGENE, OR 97401-4314
(541) 345-0805
Mailing address
555 E 15TH AVE, EUGENE, OR 97401-4314
(541) 345-0805
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
10/01/2015
Last updated
10/20/2016
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