Ryan Edgar

NPI #1144951237 in Mishawaka, Indiana

Provider Information

NPI Number: 1144951237
Entity Type: Individual
Name: Ryan Edgar
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Jun 21, 2022
Last Updated: Jun 21, 2022

Practice Location

Address: 1316 W DRAGOON TRL
City: Mishawaka
State: Indiana
ZIP Code: 46544-4713
Phone: (574) 855-4292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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