Individual
RYAN HISAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
380 W 11TH ST, RENO, NV 89503-2926
(925) 212-1449
Mailing address
380 W 11TH ST, RENO, NV 89503-2926
(925) 212-1449
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
460846346
—
NV
Enumeration date
09/30/2015
Last updated
09/30/2015
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