Individual
RACHEAL ANN RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
421 COURTNEY LN, PERRY, GA 31069-9378
(229) 376-8305
Mailing address
421 COURTNEY LN, PERRY, GA 31069-9378
(229) 376-8305
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-70760
—
106E00000X
Assistant Behavior Analyst
0-23-14329
—
106S00000X
Behavior Technician
RBT-18-73315
—
Other
Enumeration date
06/29/2019
Last updated
01/25/2024
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