Individual
RYAN KLEIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6926 180TH ST, FRESH MEADOWS, NY 11365
(917) 816-2689
Mailing address
6926 180TH ST, FRESH MEADOWS, NY 11365-3530
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30265
—
174400000X
Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174400000X SPECIAL
17 OTHER SERVICE PROVIDERS
NY
Enumeration date
06/21/2012
Last updated
06/12/2020
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