Ryan David Dietman, BS

NPI #1053923318 in Bloomington, Minnesota

Provider Information

NPI Number: 1053923318
Entity Type: Individual
Name: Ryan David Dietman, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: BS
Enumeration Date: Aug 18, 2020
Last Updated: Aug 18, 2020

Practice Location

Address: 9001 E BLOOMINGTON FWY STE 143
City: Bloomington
State: Minnesota
ZIP Code: 55420-3444
Phone: (952) 777-4996

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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