Individual
AMANDA RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23207 VIA REINA, MISSION VIEJO, CA 92691-2635
(916) 412-8285
Mailing address
23207 VIA REINA, MISSION VIEJO, CA 92691-2635
(916) 412-8285
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11829631
CA
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
03/07/2014
Last updated
01/27/2021
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