Individual
RYAN LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
5446 N ACADEMY BLVD STE 105, COLORADO SPRINGS, CO 80918-3668
(719) 598-5555
Mailing address
990 WAR EAGLE DR N, COLORADO SPRINGS, CO 80919-1650
(605) 951-1293
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51614
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/17/2019
Last updated
07/27/2021
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