Ryan Mcmicking

NPI #1003544784 in Northbrook, Illinois

Provider Information

NPI Number: 1003544784
Entity Type: Individual
Name: Ryan Mcmicking
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 10, 2022
Last Updated: Aug 10, 2022

Practice Location

Address: 85 REVERE DR STE AA
City: Northbrook
State: Illinois
ZIP Code: 60062-8001
Phone: (844) 247-7222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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