Ryan Hatch

NPI #1104160456 in Iona, Idaho

Provider Information

NPI Number: 1104160456
Entity Type: Individual
Name: Ryan Hatch
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 26, 2012
Last Updated: Mar 3, 2017

Practice Location

Address: 5243 STEELE AVE
City: Iona
State: Idaho
ZIP Code: 83427-0483
Phone: (208) 589-6258

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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