Jetta Renay Ryan

NPI #1053017426 in Killeen, Texas

Provider Information

NPI Number: 1053017426
Entity Type: Individual
Name: Jetta Renay Ryan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 6, 2023
Last Updated: Feb 6, 2023

Practice Location

Address: 4100 AMBROSE DR
City: Killeen
State: Texas
ZIP Code: 76549-4763
Phone: (254) 548-8073

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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